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medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Which of the following is the complication of diabetes mellitus: Please select one of the following: A) Macrovascular, B) Neuropathy, C) Nephropathy, D) All of the above.
D
100
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
EMQ/EMI Theme: Emergencies in the Dental Chair A - Adrenaline 1:1000 (1 mg/ml) B - Adrenaline 1:10 000 (1 mg/10 ml) C - Aspirin oral D - Chlorpheniramine E - Diazepam F - Glucagon G - Glucose H - Glyceryl trinitrate spray I - Hydrocortisone (IV) J - Oxygen K - Salbutamol For each of the following scenarios, ...
D
101
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A study of patients with postmenopausal uterine bleeding reveals that some of them have malignant neoplasms that arise from prior atypical hyperplastic lesions. The peak incidence is between 55 and 65 years of age in women who have obesity, hypertension, and/or diabetes mellitus. Molecular analysis reveals mutations of...
B
102
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A diabetic female at 39 weeks of gestation delivered a baby by elective cesarean section. Soon after bih the baby developed respiratory distress. Chest X-ray shows opacity in right middle lobe fissure. The diagnosis is: Please select one of the following: A) Transient tachypnea of the newborn, B) Congenital diaphragmat...
A
103
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Many times the most important step that can be taken to reduce morbidity and mortality from common medical conditions such as diabetes and cardiovascular disease is to focus on lifestyle and/or risk factor modification. A 45-year-old, healthy nonsmoking woman with a normal BMI (24) has been found on two occasions to ha...
B
104
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
An elderly male accompanied by his son.The son tells his father has fever, cough, shoness of breath since 2 weeks. The patient is a known case of chronic bronchitis and diabetes. Travel history to Wuhan City, China is present. What is the symmetry of the causative virus? Please select one of the following: A) Naked hel...
C
105
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A G2 P1+0+0 diabetic mother present at 32 weeks pregnancy, there is history of full term fetal demise in last pregnancy. Her vitals are stable, sugar is controlled and fetus is stable. Which among the following will be the most appropriate management? Please select one of the following: A) To induce at 38 weeks, B) To ...
A
106
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 56-year-old diabetic woman has recently been treated with a 2-week course of antibiotics for a skin infection. She returns to the clinic for follow-up with a new complaint of a "cottage cheese-like" vaginal discharge with significant vaginal itching. The most likely cause of these symptoms is Please select one of the...
B
107
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 65-year-old woman presents to her GP complaining of low mood.She repos a past medical history of atrial fibrillation and type 2 diabetes. Clinical examination reveals cool peripheries and a pulse of 45 bpm. Thyroid function tests (TFTs) show the following: TSH:6.5 mU/L (0.4-4.0 mU/L) T4:4 pmol/L (9-24 pmol/L) Which o...
A
108
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A diabetic female on INH and rifampicin for TB suffers from deep vein thrombosis. She is staed on warfarin but her prothrombin time is not raised. What is the next best step in management of the condition? Please select one of the following: A) Use LMW heparin, B) Long term heparin therapy, C) Switch ethambutol for rif...
A
109
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 60 year old female patient complains of diarrhoea and abdominal pain. She was on antibiotic therapy earlier which comprised of Clindamycin. She is a diabetic and is on oral hypoglycemic. Stool culture revealed gram positive motile rods. The colonoscopy is done of this patient and the typical structure is revealed....
A
110
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 60-year-old female complains of dry mouth and a gritty sensation in her eyes. She states it is sometimes difficult to speak for more than a few minutes. There is no history of diabetes mellitus or neurologic disease. The patient is on no medications. On exam, the buccal mucosa appears dry and the salivary glands are ...
B
111
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 48-year-old man with a history of diabetes presents to the emergency depament with a poorly healing right foot ulcer. The ulcer has been present for 1 month, and has never been treated. The patient denies fever or chills, and complains of mild pain at the ulcer site. His temperature is 37.6 C (99.6 F), blood pressure...
D
112
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 82-year-old female presented with history of loss of vision in right eye for about 15 minutes and it cleared up. She has a history of diabetes and hypertension. She had which showed old infarct on right side. Carotid duplex showed that patient had 99% carotid artery stenosis. Which one of the following statements is ...
A
113
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
An obese, diabetic patient with hypertension who is also a smoker, currently on anti-hypertensive and OHA drugs presents with complains of apnea during night. Polysomnography reveals 5 apneic episodes and 1 hypoapneic episode in one hour. What will be best next line of management is: (E. REPEAT 2007) Please select one ...
D
114
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 50-year-old woman who is a known diabetic and hypeensive has developed vesicular eruption on the trunk in T6 dermatome. Dermatologist confirmed it as Herpes Zoster. She is complaining severe pain and increased sensitivity to touch. Which of the following receptors sense sustained pressure? Please select one of the fo...
C
115
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Exenatide is a new drug used in diabetes mellitus. Mechanism of action of this drug is:- Please select one of the following: A) Inhibition of DPP- 4, B) Release of insulin acting as agonist of GLP-1 receptors, C) Inhibiting intestinal absorption of carbohydrates, D) Stimulation of PPAR-gamma.
B
116
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
An old diabetic male presented with rapidly spreading infection of the external auditory canal with involvement of the bone and presence of granulation tissue. The drug of choice for this condition is: Please select one of the following: A) Ciprofloxacin, B) Penicillin, C) Second generation cephalosporin, D) Aminoglyco...
B
117
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 55-year-old female developed ESRD due to poorly controlled diabetes. She underwent dialysis 2-3 times a week. She was advised for kidney transplant which she received from cadaveric donor. She was put on immunosuppressive therapy with azathioprine, cyclosporine, methylprednisolone and anti-thymocyte globulin. Two wee...
B
118
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
National program for prevention and control of Cancer, Diabetes, Cardiovascular disease and stroke (NPCDCS), true is - Please select one of the following: A) Separate centre for stroke, DM, cancer, B) Implementation in some 5 states over 10 districts, C) District hospital has specialised facilities, D) Subcentre has fa...
C
119
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 72-year-old male with diabetes mellitus is evaluated in the emergency room because of lethargy, disorientation, and long, deep breaths (Kussmaul respirations). Initial chemistries on venous blood demonstrate high glucose at 380 mg/dL (normal up to 120) and a pH of 7.3. Recalling the normal bicarbonate (22 to 28 mM) a...
B
120
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 60-yrs-old diabetic man undergoes resection of an infected boil on his back. The wound is left open for packing and cleansing. Week by week, the wound grows smaller. Which of the following is true concerning wound contracture? Please select one of the following: A) It is the primary process affecting closure of a sut...
D
121
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 55 year old female presented with tingling sensation in her hands and feet & pain in her legs during night time. She had type 2 diabetes for 15 years. O/E- loss of ankle deep tendon reflex, loss of position sense of great toe, decreased pinprick sensation over ankles & wrists. Her recent HbA1c was 8.9%. She is curren...
A
122
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Nurse Joey is assigned to care for a postoperative male client who has diabetes mellitus. During the assessment interview, the client reports that he’s impotent and says he’s concerned about its effect on his marriage. In planning this client’s care, the most appropriate intervention would be to: Please select one of t...
D
123
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 60-year diabetic & hypeensive male with second-grade prostatism admitted for prostatectomy developed myocardial infarction. Treatment now would be - Please select one of the following: A) Finasteride, B) Terazocin, C) Finasteride and terazocin, D) Diethyl stilbestrol.
B
124
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 90-year-old woman with mild diabetes and Alzheimer's disease die in her sleep. At autopsy, hepatocytes are noted to contain golden cytoplasmic granules that do not stain with Prussian blue. Which of the following best accounts for pigment accumulation in the liver of this patient? Please select one of the following: ...
A
125
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 48-year-old right-handed man was admitted with a 3-day history of brief generalised tonic-clonic seizures,muscle weakness, a 3-month history of weight loss with increasing difficulty in eating and a 1-week history of word finding difficulties and speech apraxia with reduced fine motor skills.He had a diagnosis of typ...
D
126
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
In a non-diabetic high risk pregnancy the ideal time for non stress test monitoring is: Please select one of the following: A) 48 hrs, B) 72 hrs, C) 96 hrs, D) 24 hrs.
B
127
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A young lady was found unconscious by her parents while she was exercising. She was rushed to emergency medicine depament where her blood sugar levels were repoed to be 250 mg/dl. No history of diabetes was there. ABG analysis was suggestive of metabolic acidosis. Thus, diagnosis of DKA was made. The patient was manage...
A
128
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A diabetic with orbital cellulitis and maxillary sinusitis shows hyaline, narrow, septate and ranching hyphae with invasion of the blood vessels fungus on microscopy. Which is the causative fungus ? Please select one of the following: A) Candida, B) Rhizospora, C) Aspergillus, D) Histoplasma.
C
129
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 67-year-old man with an 18-year history of type 2 diabetes mellitus presents for a routine physical examination. His temperature is 36.9 C (98.5 F), his blood pressure is 158/98 mm Hg and his pulse is 82/minute and regular. On examination, the physician notes a non tender, pulsatile, mass in the mid-abdomen. A plain ...
B
130
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A autosomal recessive disorder caused by mutation in SLC19A2 gene and characterized by megaloblastic anemia, diabetes mellitus and sensorineural hearing loss. This child responds to which nutrient Please select one of the following: A) Vitamin B12, B) Vitamin c, C) Vitamin B1, D) Folic acid.
C
131
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A diabetic patient 2 days after post cataract surgery develops develops hypopyon. What will be the management? Please select one of the following: A) Intravitreal antibiotics, B) Eye drops, C) Surgery, D) No treatment required.
A
132
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A screening test done in an area with a population of 1000, showed 90 of them positive for diabetes. The Gold standard diagnostic test done showed 100 as positive for diabetes. Calculate the sensitivity of the screening test? Please select one of the following: A) 90/100, B) 900/1000, C) 110/100, D) 110/100.
A
133
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 4.2 kg baby born to diabetic mother develops seizures at 16 hours. The most likely cause is: Please select one of the following: A) Hypoglycemia, B) Hypoxia/Respiratory distress syndrome, C) Hypomagnesemia, D) Hypocalcemia.
A
134
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 35 year old woman is scheduled to undergo elective surgery for removal of a large ovarian tumor. Comorbidities include type 2 diabetes treated with metformin. She is anemic due to menorrhagia. She is a non-smoker, occasional social drinker and has BMI of 40. This patient would be placed under ASA grade Please select ...
C
135
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 55-year-old diabetic patient presented with impotence with a history of failure to get an erection after papaverine intracavernous injection. Colour Doppler shows no. abnormality of arteries but shows mild venous run-off, Treatment of choice here would be Please select one of the following: A) Intracavernous injectio...
C
136
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
True about the following virus: A. Enveloped, Club or petal shaped projections, Positive ss RNA- Largest genome of RNA virus. B. Diseases caused by these viruses are SARS, MERS. C. Reservoir is horseshoe bats for SARS, likely spread from palm-civets cats contact with humans. D. Symptoms of MERS appear within a day foll...
C
137
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 15-year-old girl with type 1 diabetes is brought to emergency complaining of dizziness. Laboratory findings include severe hyperglycemia, ketoacidosis and blood pH of 7.15. To achieve rapid control of severe ketoacidosis, an appropriate drug is: Please select one of the following: A) Crystalline zinc insulin, B) NPH ...
A
138
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Sheela, a middle aged diabetic female presented with flank pain and fever. On USG, the kidney was irregular and showed fat density lesion with calculi. The diagnosis is most probably: Please select one of the following: A) TB kidney, B) Xanthogranulomatous pyelonephritis, C) Chronic pyelonephritis, D) Emphysematous pye...
B
139
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
According to national control programme of cancer, diabetes and heart diseases, all of the following are true EXCEPT: Please select one of the following: A) According to WHO, Coronary Heart disease is considered as a modern epidemic i.e., a disease that affects the population, not an unavoidable attribute of ageing., B...
B
140
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A person with type 1 diabetes ran out of her prescription insulin and has not been able to inject insulin for the past 3 days. The patient is hyperventilating to compensate for her metabolic acidosis. Which of the following reactions explains this partially compensating respiratory alkalosis? Please select one of the f...
C
141
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
True about lithium treatment in mania -a) Commonest neurological side effect is tremorb) Toxic level is <1.5 mg/dl serum levelc) Amiloride is DOC for Li induced diabetes insipidusd) Lithium is 90% protein bounde) Tremor is treated with propranolol Please select one of the following: A) acd, B) bde, C) cde, D) ace.
D
142
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
60 year old diabetic female presented with burning sensation to spicy food. Intraoral examination revealed multiple periodontal abscess and keratotic area in a lace pattern with occasional erosive areas inside the lace pattern. Histological feature will be Please select one of the following: A) Elongated rete ridges, B...
C
143
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
The 9 month old child of a diabetic mother presents with tachypnea and hepatomegaly. Echo cardloKraphy of the hea showed normal cardiac morphology with asymmetric septal hyperophy. Which of the following you will give to treat this child - Please select one of the following: A) Digoxin, B) Frusemlde, C) Propanolol, D) ...
C
144
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 58-year-old man with a long-standing history of type 2 diabetes mellitus suffers a massive hemorrhagic stroke and expires. Examination of the pancreas shows hyalinization of many islets of Langerhans. Which of the following characterizes the material within the islets of Langerhans? Please select one of the following...
A
145
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
An alcoholic patient with history diabetic nephropathy and liver failure is posted for open abdomen surgery. The most appropriate muscle relaxant in this patient is: Please select one of the following: A) Cisatracurium, B) Rocuronium, C) Vecuronium, D) Rapacuronium.
A
146
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
ETDRS vision chart study is done in patients with diabetic retinopathy. ETDRS stands for – Please select one of the following: A) Extended therapy for diabetic retinopathy & its sutdy, B) Emergency treatment for diabetic retinopathy and study, C) Eye testing or rotatory drum & its study, D) Early treatment for diabetic...
D
147
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 78-year-old woman with type 2 diabetes presents to her physician for a biannual examination. She indicates that after having a new chef at home 3 months ago, she did not feel it necessary to check her blood glucose since the food is "so healthy" at the home. Which of the following methods of blood glucose monitoring,...
B
148
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Desmopressin is a synthetic analog of ADH. It is preferred over arginine vasopressin in the treatment of diabetes insipidus for all of the following reasons EXCEPT: Please select one of the following: A) It is a more potent antidiuretic, B) It is a selective vasopressin V1 receptor agonist, C) It has a little vasoconst...
B
149
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 55- year old diabetic patient presents with transient obscuration in vision for 2-3 days followed by sudden loss of vision. Which of the following would be the best test to evaluate the symptoms? Please select one of the following: A) Serum ACE levels, B) Quantiferon-Gold TB test, C) Elevated homocysteine levels, D) ...
D
150
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A-65 years alcoholic suffering from diabetes has a flexion deformity at the right little finger over the metacarpophalangeal joint of around 15 degrees. The ideal management for him would be - Please select one of the following: A) Observation, B) Percutaneous fasciotomy, C) Subtotal fasciectomy, D) Total fasciectomy.
A
151
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
In which of the following locations would you least expect to find significant atherosclerotic lesions in a patient with risky factors of smoking, hypertension, diabetes mellitus, and serum cholesterol level of 280 mg/dl - Please select one of the following: A) Left main coronary artery, B) Aortic bifurcation, C) Circl...
D
152
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Devesh is working as a CEO in a company. He has a traveling job. He is a known diabetic controlled on oral hypoglycemic drugs. On his recent visit to the doctor, his blood pressure was found to be 164/102 mm Hg. Most suitable drug for this patient should be? Please select one of the following: A) Propanolol, B) Enalapr...
B
153
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 23 year old female with type I diabetes presented with 6 weeks of amenorrhea. Her urine pregnancy test turned to be positive. Her sugar levels are not in control. The child may have all of the following abnormalities, EXCEPT: Please select one of the following: A) Chromosomal abnormalities, B) Caudal regression, C) R...
A
154
medmcqa
train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Which of the following is an SGLT 2 inhibitor approved for treatment of type 2 diabetes Mellitus Please select one of the following: A) Dulaglutide, B) Pramilintide, C) Canagliflozin, D) Nateglinide.
C
155
medmcqa
train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Increased lipolysis of fat stores, which can result from starvation, diabetesmellitus, or coicosteroid use, is most likely to cause steatosis (fattyliver) through which one of the listed mechanisms? Please select one of the following: A) Decreased free fatty acid excretion from the liver leads to free fatty acid accumu...
C
156
medmcqa
train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 48-year-old Caucasian man, diagnosed with diabetes 5 years ago, comes to the physician because of palpitations, Physical examination shows a diffuse darkening of his skin and testicular atrophy. Laboratory studies show elevated liver function and elevated blood sugars. A liver biopsy shows significantly elevated iron...
D
157
medmcqa
train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
During a class on exercise for diabetic clients, a female client asks the nurse educator how often to exercise. The nurse educator advises the clients to exercise how often to meet the goals of planned exercise? Please select one of the following: A) At least once a week, B) At least three times a week, C) At least fiv...
B
158
medmcqa
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
The triad of diabetes, gallstones and steatorrhoea is associated with which one of the following tumors? Please select one of the following: A) Gastrinomas, B) Somastostationomas, C) VIPomas, D) Glucagonomas.
B
159
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 48-year-old diabetic with orbital cellulitis presented with a corneal ulcer. An aqueous tap showed branched hyphae. Diagnosis is - Please select one of the following: A) Herpetic ulcer, B) Mycotic Ulcer, C) Bacterial Ulcer, D) Anterior staphyloma.
B
160
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Risk factors for Retinal detachment are –a) Diabetic retinopathy b) Myopia c) Hypermetropiad) CRVOe) Retinopathy of prematurity Please select one of the following: A) abe, B) bcd, C) cde, D) acd.
A
161
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A patient has IDDM diagnosed at age of 15 years. The most reliable indicator for diabetic nephropathy is-A patient has IDDM diagnosed at age of 15 years. The most reliable indicator for diabetic nephropathy is- Please select one of the following: A) Urine albumin < 50 mg per day in 3 consecutive samples, B) Urinary pro...
B
162
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A patient with diabetic gastroparesis was given erythromycin because of the following propey: Please select one of the following: A) It increases bacterial count, B) It decreases bacterial count, C) It binds to adenyl cyclase, D) It imitates motilin.
D
163
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 53-year-old woman with a past medical history of chronic kidney disease due to diabetic nephropathy is noted to have hyperphosphatemia and hypocalcemia on routine electrolyte measurement. The disturbance is likely a result of metabolic bone disease seen in patients with chronic kidney disease. Which of the following ...
B
164
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 41 y/o male presents with complaints of inability to achieve proper erections during sexual intercourse. He repos that there were no abnormalities till last month, when on one occasion he tried having sex with wife while he was drunk. He was not able to achieve a proper erection at that time and since than, on four o...
A
165
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A premature baby of a diabetic mother was kept in incubator in neonatal ICU following respiratory distress. Which of the following indicates RDS in a newborn? Please select one of the following: A) Onset after 6 hours of age, B) Antenatal coicosteroid therapy in mother, C) Air bronchogram on chest X-ray, D) Term gestat...
C
166
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 30-year-old woman has prominent cervical and dorsal fat pads, hirsutism, acne, purple abdominal striae, unexplained hypokalemia, and diabetes mellitus.Select the most likely disease process for the clinical syndromes described Please select one of the following: A) Acromegaly, B) Exogenous human growth hormone (HGH) ...
D
167
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
The gag reflex is checked in a 65-year-old woman with diabetes mellitus. When the right side of the pharynx is touched with a tongue blade, the palate elevates symmetrically. When the left side of the pharynx is touched, the palate does not elevate at all.Which of the following cranial nerves is most likely to be respo...
B
168
medmcqa
train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 40-year-old diabetic female presented with complaints of fatigue, abdominal distension, pruritis, anorexia, myalgia and skin rashes. On examination, icterus, hepatosplenomegaly and ascites were noted. Lab finidngs - elevated SGOT/SGPT levels, IgG levels and ANA titres, hypoalbuminemia, prolonged PT, normocytic normoc...
B
169
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 75-year-old man with a history of myocardial infarction 2 years ago, peripheral vascular disease with symptoms of claudication after walking half a block, hypeension, and diabetes presents with a large ventral hernia. He wishes to have the hernia repaired. Which of the following is the most appropriate next step in h...
D
170
medmcqa
train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
What is normal range of glycosylated haemoglobin (HbA1c) for adequate glycaemic control in diabetic patient- Please select one of the following: A) 6% to 8 %, B) 8 % to 10 %, C) 4 % to 6 %, D) 10 % to 12 %.
A
171
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 36-year-old diabetic woman develops metabolic changes following salpingo-oophorectomy. Serum osmolality of the blood can be calculated from serum values of which of the following? Please select one of the following: A) Sodium, potassium, chloride, and bicarbonate, B) Sodium, potassium, urea, and hemoglobin, C) Sodium...
C
172
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
True about Posttraumatic fat embolism syndrome -a) Fracture mobility is a risk factor b) Associated diabetes pose a riskc) Bradycardia occursd) Thrombocytopeniae) On ABG PaO2 < 60 mm Hg on FIO2 < 0.4 Please select one of the following: A) abcd, B) bcde, C) abde, D) ade.
C
173
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Nlicroaneu 'lestation ofdiabetic retii6;patily. Which uf Ling layer isinvolved in diabetic etinopathv? Please select one of the following: A) Outer plexiform layer, B) Inner nuclear layer, C) Layer of rods and cones, D) Retinal pigment epithelium.
B
174
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Diabetic Ketoacidosis (DKA) mimics acute pancreatitis in all the following findings except : Please select one of the following: A) Elevated amylase, B) Elevated lipase, C) Abdominal pain, D) Hyperglycemia.
B
175
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A patient 45 years of age, non diabetic, presents with chronic pelvic pain of 1 year duration. She also complains of frequency, urgency and a sense of incomplete evacuation since 1 year without any significant finding on her past ultrasounds, urine examination and urine and high vaginal swab cultures. On pelvic examina...
A
176
medmcqa
train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
1.The 68 year old Chandu is a diabetic and presented with black,foul smelling discharge from the nose.Examination revealed blackish discoloration of the inferior turbinate.The diagnosis is: Please select one of the following: A) Mucormycosis, B) Aspergillosis, C) Infarct of inferior turbinate, D) Foreign body.
A
177
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 55-year-old male, with uncontrolled diabetes mellitus and hypeension, developed severe air-borne contact dermatitis. The most appropriate drug for his treatment would be: Please select one of the following: A) Systemic coicosteroids, B) Thalidomide, C) Azathioprine, D) Cyclosporine.
C
178
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 40-year old diabetic patient presents with proptosis of one eye and black eschar over palate. The likely organism is : Please select one of the following: A) Pseudomonas, B) Candida, C) E. coli, D) Mucor.
D
179
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
If a diabetic patient being treated with an oral hypoglycemic agent develops dilutional Hyponatremia, which one of the following could be responsible for this effect Please select one of the following: A) Chlorpropamide, B) Tolbutamide, C) Glyburide, D) Glimepride.
A
180
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 60-year-old male diabetic and smoker came with 3 hours of substernal pain. Which of the following statements is true regarding his ECG? Please select one of the following: A) Hea rate is 45/min, B) ECG shows acute anterior myocardial infarction, C) Patient should be given IV lidocaine, D) ECG is suggestive of hypokal...
B
181
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 50-year-old woman is 5 ft 7 in tall and weighs 185 lb. There is a family history of diabetes mellitus. Fasting blood glucose (FBG) is 160 mg/dL and 155 mg/dL on two occasions. HgA1c is 7.9%. You educate the patient on medical nutrition therapy. She returns for reevaluation in 8 weeks. She states she has followed diet...
D
182
medmcqa
train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 65-year-old P3+0 female complains of procidentia. She has past history significant of MI and is diabetic and hypertensive. Ideal management of prolapse in the patient is: Please select one of the following: A) Cervicopexy, B) Vaginal hysterectomy, C) Wait and watch, D) Le forts repair.
D
183
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 50 year old diabetic and hypertensive patient on amlodipine and glimepiride is posted for elective AV fistula creation for dialysis in view of acute kidney failure. What is your view as anaesthesiologist with regard to pre-operative orders Please select one of the following: A) Stop amlodipine but continue glimepirid...
B
184
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 65-year-old diabetic woman develops weakness on the left side of the face, right arm,and right leg. She also has diplopia on left lateral gaze. What is the site of lesion? Please select one of the following: A) Right pons, B) Left pons, C) Right midbrain, D) Left midbrain.
B
185
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A PATIENT WITH DIABETES AND COPD DEVELOPED POST OPERATIVE URINARY RETENTION .WHICH OF THE FOLLOWING IS USED FOR SO TERM TREATMENT TO RELIVE SYMPTOMS ? Please select one of the following: A) BETHANECOL, B) METHANICOL, C) TERAZOSIN, D) TAMSULOSIN.
A
186
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 34 years old male presents with a history of thirst, polyuria and recent 3.2 kg weight loss. His urine contains a small amount of ketones. Which of the following would suggest he is most likely to have type 2 diabetes than type 1? Please select one of the following: A) BMI of 23, B) High circulating insulin Levels, C...
B
187
medmcqa
train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 54-year-old diabetic patient complaints of an unresolved skin lesion on his foot. The lesion began several weeks ago as a blister and has since become a painful, erosive, expanding sore. On examination, the affected site is now 5 cm in diameter, with a black necrotic center and raised red edges. Which toxin has a mec...
D
188
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 35-year-old nondiabetic, nonhypeensive individual to casualty with a sudden bursting headache and altered sensorium. What is the most likely diagnosis? Please select one of the following: A) Meningitis, B) Encephalitis, C) Intracerebral hemorrhage, D) Intracranial tumor.
C
189
medmcqa
train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 15-year-old type I diabetic faints after injecting himself with insulin. He is administered Glucagon and rapidly recovers consciousness. Glucagon induces activity of: Please select one of the following: A) Glycogen synthase, B) Glycogen phosphorylase, C) Glucokinase, D) Hexokinase.
B
190
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 65-year-old diabetic lady complains of bloating for 3 hours. What is the diagnosis? Please select one of the following: A) Anterior wall MI, B) Takotsubo cardiomyopathy, C) Early repolarization variant, D) Artifact in V3-V4.
A
191
medmcqa
train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
A 40-years-old non-diabetic woman patient is bought to the emergency depament, by paramedics with hypoglycemia. The paramedics suspect a,& insulin overdose, you suspect Insulinoma. The lab result that would confirm your suspicion of Insulinoma is Please select one of the following: A) Insulin level > C-peptide level, B...
C
192
medmcqa
train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
WHO guidelines to decrease both coronary heart disease and diabetes, triple treatment involves Please select one of the following: A) Healthy diet, regular physical exercise, avoiding tobacco, B) Lipid lowering drug, avoid tobacco, poly pill, C) Decreased salt intakes, poly pill, vegetarian diet, D) Healthy diet, regul...
D
193
medmcqa
train
qa2
You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
On retinal examination of a diabetic patient, cotton wool spots are noted. What is the cause of cotton wool spots seen in this case? Please select one of the following: A) Retinal edema, B) Retinal holes, C) Retinal haemorrhage, D) Macular degeneration.
A
194
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Gingival fluid from diabetics contain a reduce level of cyclic adenosine monophosphate which may lead to Please select one of the following: A) Increased severity of gingival inflammation, B) Decreased severity of gingival inflammation, C) No response on gingiva, D) Epithelial desquamation.
A
195
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
World diabetes day is celebrated on ? Please select one of the following: A) 8th may, B) 8th march, C) 14th November, D) 1" december.
C
196
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train
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Intravenous fluid of choice in management of diabetic ketoacidosis Please select one of the following: A) Normal saline, B) Colloids, C) 5% dextrose, D) Dextran - 70.
A
197
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Rajesh is known to have IDDM and he is brought to the emergency room in a coma due to diabetic ketoacidosis. Insulin therapy is begun without a delay. Which of the following should also accompany immediately? Please select one of the following: A) Calcium supplementation, B) Creatinine supplementation, C) Magnesium sup...
D
198
medmcqa
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You will be presented with a multiple-choice medical question, each with four possible answer choices labeled A, B, C, and D. Carefully evaluate the question and select the most appropriate answer. Provide your response as a single capital letter: A, B, C, or D.
Which of the following agents is not used in the treatment of Diabetic Macular Edema Retinopathy- Please select one of the following: A) Ruboxistaurim, B) Pyridazinones, C) Benfotiamine, D) Tamoxifen.
D
199