FREE NBOME Clinical Medicine & Patient Care Questions and Answers

Question 1

Which of the following is the most appropriate initial step in managing a patient with acute chest pain?

Accepted Answer

Assess airway, breathing, and circulation (ABCs).

Answer

Order a CT angiogram immediately.

Answer

Administer sublingual nitroglycerin.

Answer

Obtain a detailed family history.

Question 2

A 65-year-old patient presents with unilateral leg swelling and tenderness. What is the most likely diagnosis?

Accepted Answer

Deep vein thrombosis (DVT)

Answer

Muscle strain

Answer

Cellulitis

Answer

Peripheral artery disease

Question 3

Which of the following is a key diagnostic criterion for systemic lupus erythematosus (SLE)?

Accepted Answer

Malar rash

Answer

Heberden's nodes

Answer

Janeway lesions

Answer

Osler nodes

Question 4

What is the first-line treatment for uncomplicated hypertension in a 50-year-old patient without comorbidities?

Accepted Answer

Thiazide diuretic

Answer

Beta-blocker

Answer

ACE inhibitor

Answer

Calcium channel blocker

Question 5

A patient presents with fever, headache, and nuchal rigidity. What is the most urgent diagnostic test?

Accepted Answer

Lumbar puncture

Answer

CT head without contrast

Answer

Blood cultures

Answer

EEG

Question 6

Which of the following is a hallmark feature of Parkinson’s disease?

Accepted Answer

Bradykinesia

Answer

Intention tremor

Answer

Hyperreflexia

Answer

Muscle spasticity

Question 7

What is the most common cause of community-acquired pneumonia in adults?

Accepted Answer

Streptococcus pneumoniae

Answer

Mycoplasma pneumoniae

Answer

Haemophilus influenzae

Answer

Legionella pneumophila

Question 8

A patient with type 2 diabetes has a HbA1c of 9.5%. What is the next best step?

Accepted Answer

Initiate metformin

Answer

Start insulin therapy

Answer

Recommend dietary changes only

Answer

Refer to endocrinology

Question 9

Which of the following is a red flag symptom for colorectal cancer?

Accepted Answer

Unexplained weight loss

Answer

Occasional constipation

Answer

Hemorrhoids

Answer

Heartburn