MCQs for discussion for competitive exams nepal 2024 2025

MCQs for discussion for competitive exams nepal

A 50-year-old woman presents with severe epigastric pain that radiates to her back and is relieved by leaning forward. Laboratory tests show elevated serum amylase and lipase. What is the most likely diagnosis?

• A. Cholecystitis
• B. Pancreatitis
• C. Peptic ulcer disease
• D. Myocardial infarction
• E. Gastritis

A 72-year-old man with a history of chronic obstructive pulmonary disease (COPD) presents with worsening shortness of breath and a productive cough. His temperature is 38.5°C (101.3°F). A chest X-ray reveals an infiltrate in the right lower lobe. What is the most appropriate treatment?

• A. Inhaled bronchodilators
• B. Oral corticosteroids
• C. Antibiotics
• D. Diuretics
• E. Anticoagulants

A 34-year-old woman presents with fatigue, muscle weakness, and craving for salty foods. Her blood pressure is 90/60 mm Hg. Laboratory tests show hyponatremia and hyperkalemia. What is the most likely diagnosis?

• A. Hypothyroidism
• B. Cushing's syndrome
• C. Addison's disease
• D. Hyperaldosteronism
• E. Pheochromocytoma

Answers:

11. B. Pancreatitis
12. C. Antibiotics
13. C. Addison's disease