1. What is ontological aspect?

A. Body
B. Mind
C. Energy
D. Mind and energy

2. In what state the case story must disclose every physical and ontological aspect
of the patient?
A. Weakness
B. Wellness
C. Diseased state
D. All above

3. A 56-year-old man reports reduced exercise tolerance over the past 5 years. In
the past year he has noted chest pain after ascending a flight of stairs. He
smokes 2 packs of cigarettes per day. On examination he has a blood pressure of
155/95 mm Hg. His body mass index is 30 kg/m 2. Laboratory findings include a
total serum cholesterol of 245 mg/dL with HDL cholesterol of 22 mg/dL. Which
of the following vascular abnormalities is he most likely to have?
A. Hyperplastic arteriolosclerosis
B. Lymphedema
C. Medial calcific sclerosis
D. Atherosclerosis

4. A 66-year-old man with Parkinson disease develops pleuritic chest pain. On

exam, he has guarding over the right lower lung with dullness to percussion. A
chest CT scan shows a focal, wedge-shaped pleural based area of hemorrhage in
the right lower lobe. Which of the following is the most likely cause for his
 pulmonary lesion?
A. Embolism
B. Atherosclerosis
C. Vasculitis
D. Arteriolosclerosis

5. A 44-year-old woman has a family history of heart disease. Her father and
mother both developed myocardial infarction and congestive heart failure as a
result of occlusive coronary atherosclerosis. A dietary modification to include
consumption of which of the following is most likely to reduce her risk for
ischemic heart disease?
A. 40% of total caloric intake as fat
B. Increased saturated fat
C. Foods with cholesterol
D. Cold water fish oil

6. A 54-year-old man with diabetes mellitus has had 3 urinary tract infections
during the past year. He now sees the physician for an ulceration on his right big
toe which has not healed in 2 months. Laboratory studies on each of his doctor
visits over the past year show blood glucose levels below 110 mg/dL. This
situation could be best explained by which of the following laboratory findings?
A. Elevated hemoglobin A1C level
B. Increased urine ketones
C. Elevated serum osmolarity
D. Decreased plasma insulin

7. A study of pathologic findings in the islets of Langerhans is performed. It is

observed that insulitis may occur in the islets. The inflammatory infiltrate is
predominantly composed of T lymphocytes. Which of the following
complications is most likely to occur as a consequence of insulitis?
A. Neoplasia
 B. Malabsorption
C. Ketoacidosis
D. Obesity

8. Which of the following is NOT a common subtype of non-Hodgkin lymphoma?

A. Diffuse large B-cell lymphoma
B. Follicular lymphoma
C. Hodgkin lymphoma
D. Mantle cell lymphoma

9. Which of the following is NOT a common symptom of non-Hodgkin

lymphoma?
A. Unexplained weight loss
B. Enlarged lymph nodes
C. Night sweats
D. Chest pain

10. What is the standard first-line treatment for aggressive non-Hodgkin

lymphoma?
A. Radiation therapy
B. Chemotherapy
C. Targeted therapy
D. Stem cell transplant

11. Which medication is commonly prescribed to help dissolve uric acid stones or
prevent their formation?
A. Alpha-blockers
B. Antibiotics
C. Allopurinol
D. Calcium channel blockers
12. Which of the following is NOT a common symptom of diabetes mellitus?
A. Increased thirst and urination
B. Unexplained weight loss
C. Excessive hunger
D. Decreased blood pressure

13. What is the preferred initial treatment for type 2 diabetes mellitus?
A. Oral antidiabetic medication
B. Insulin therapy
C. Lifestyle modifications (diet and exercise)
D. Pancreatic transplantation

14. Which of the following tests is commonly used to monitor long-term glucose
control in diabetes mellitus?
A. Fasting blood glucose
B. Random blood glucose
C. Oral glucose tolerance test (OGTT)
D. Glycated hemoglobin (HbA1c)

15. Rheumatoid arthritis primarily affects which structures?

A. Bones
B. Muscles
C. Joints
D. Nerves

16. Which of the following is a common symptom of rheumatoid arthritis?

A. Back pain
B. Weight gain
C. Morning stiffness
D. Rapid heartbeat

17. Which of the following is characteristic of Osteogenesis Imperfecta?

 A. Fragile bones prone to fractures
B. Abnormal heart rhythm
C. Impaired vision
D. Enlarged liver

18. Which of the following is a risk factor for the development of liver cancer?
A. Smoking
B. Hepatitis C virus (HCV) infection
C. Diabetes mellitus
D. All of the above

19. Which of the following is a common symptom of liver disease?

A. Jaundice (yellowing of the skin and eyes)
B. Hypertension
C. Hyperthyroidism
D. Migraine headaches

20. Which of the following is a common cause of peptic ulcers?

A. Helicobacter pylori infection
B. Excessive stomach acid production
C. Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
D. All of the above

21. Why is it important to document the patients treatment process and outcome?
A. Evidence
B. To show off
C. Data collection
D. To publish

22. A backward-looking cohort study is also called a ___________.

 A. prospective cohort study
B. retrospective cohort study
C. collecting data
D. All above

23. How do we assess the state of mind?

A. Level of confidence
B. Level of motivation
C. Level of exercise
D. Level of active

24. Which of the following triggers can exacerbate symptoms of bronchial asthma?
A. Exercise
B. Allergens (e.g., pollen, dust mites)
C. Cold air
D. All of the above

25. Dengue fever is caused by a virus transmitted by which of the following

insects?
A. Mosquitoes
B. Ticks
C. Fleas
D. Bedbugs

26. Which of the following is a common symptom of renal disorders?

A. Increased appetite
B. Hypertension
C. Increased energy levels
D. Weight gain

27. Which of the following is a dietary recommendation for managing pancreatitis?

 A. High-fat diet
B. Low-fiber diet
C. Alcohol consumption
D. Small, frequent meals

28. Which of the following is NOT a common risk factor for pancreatitis?
A. Smoking
B. Obesity
C. Hypertension
D. High triglyceride levels

29. Which of the following is a symptom of acute pancreatitis?

A. Jaundice
B. Weight gain
C. Abdominal pain
D. Frequent urination

30. Pancreatitis is defined as inflammation of the _________.

A. Liver
B. Pancreas
C. Gallbladder
D. Stomach

31. Which blood pressure reading would be classified as stage 1 hypertension?

A. 120/80 mmHg
B. 130/90 mmHg
C. 140/100 mmHg
D. 150/110 mmHg

32. Which of the following is a common complication of uncontrolled

 hypertension?
A. Stroke
B. Hypoglycemia
C. Osteoporosis
D. Asthma

33. The organ primarily responsible for regulating blood pressure is _________.
A. Heart
B. Kidneys
C. Brain
D. Liver

34. Heart failure occurs when the heart _________.

A. Stops beating
B. Beats too slowly
C. Cannot pump blood effectively
D. Beats too quickly

35. Which of the following is a diagnostic test commonly used to evaluate

cardiovascular disease?
A. Electrocardiogram (ECG)
B. Blood pressure measurement
C. Complete blood count (CBC)
D. Urinalysis

36. Which test is used to detect the presence of HIV antibodies in the blood?
A. Polymerase chain reaction (PCR) test
B. Western blot test
C. ELISA test
D. Complete blood count (CBC)

37. Which of the following is NOT a common risk factor for developing cancer?
 A. Smoking
B. Family history of cancer
C. Sedentary lifestyle
D. Consuming a diet rich in fruits and vegetables

38. Which hormone is responsible for the regulation of the sleep-wake cycle?
A. Melatonin
B. Insulin
C. Growth hormone
D. Estrogen

39. Which hormone is responsible for the development and maintenance of female
secondary sexual characteristics?
A. Estrogen
B. Progesterone
C. Testosterone
D. Prolactin

40. Which hormone is responsible for regulating calcium levels in the body?
A. Thyroid hormone
B. Insulin
C. Parathyroid hormone
D. Adrenaline