Medicine McQs bank

Q5

A 40-year-old man presents to the clinic with a 2-day history of severe pain, swelling, and redness in his right knee. He reports a fever and difficulty walking due to the pain. His medical history includes diabetes and a recent skin infection near the knee. Examination reveals a hot, swollen, and tender knee joint with a limited range of motion. Synovial fluid aspiration shows turbid fluid with a high white blood cell (WBC) count and Gram-positive cocci on microscopy.

Which of the following statements about septic arthritis is true?
A. Is usually self-limiting
B. Mostly affects a single joint
C. Joint should not be aspirated as it would introduce more infection
D. Blood cultures are mostly negative
E. Leukopenia is common

Answer: https://freemedsite.com/medicine-mcq-5/

Q4

A 50-year-old man with a 10-year history of rheumatoid arthritis (RA) presents to the clinic with worsening shortness of breath and a persistent dry cough over the past few months. He works as a coal miner and has a history of significant occupational exposure to coal dust. A chest X-ray reveals multiple well-defined nodules in both lung fields, particularly in the upper lobes, along with features of mild interstitial lung disease.

What is the most likely diagnosis?
A. Systemic lupus erythematosus (SLE)
B. Reactive arthritis
C. Psoriatic arthritis
D. Rheumatoid arthritis
E. Gout

Answer: https://freemedsite.com/medicine-mcq-4/

Q3

A 48-year-old man presents with sudden-onset severe pain, swelling, and redness in his right big toe. The pain started overnight and intensified by morning, making it difficult for him to walk. He has a history of hypertension managed with hydrochlorothiazide. On examination, the toe joint is warm, erythematous, and tender to touch. Laboratory investigations reveal hyperuricemia and synovial fluid analysis shows needle-shaped, negatively birefringent crystals.

Which of the following is true about his condition?
A. Usually affects young females
B. Usually affects middle-aged males
C. Allopurinol is the best treatment for acute attack
D. Colchicine is effective in prevention of attacks
E. Thiazide diuretic is an effective treatment

Answer: https://freemedsite.com/medicine-mcq-3/

Q2

A 32-year-old woman presents to the clinic with a history of three consecutive miscarriages, all occurring in the first trimester. She reports no significant symptoms between pregnancies, though she occasionally experiences mild joint pain. On further questioning, she denies fever, photosensitivity, or Raynaud’s phenomenon. Laboratory investigations show a positive lupus anticoagulant, elevated anticardiolipin antibodies, and a normal ANA titer. Her prothrombin time (PT) and partial thromboplastin time (PTT) are prolonged.

What is the most likely diagnosis?


A. Systemic lupus erythematosus (SLE)
B. Antiphospholipid syndrome (APS)
C. Systemic sclerosis
D. Rheumatoid arthritis
E. Gonococcal arthritis

Answer: https://freemedsite.com/medicine-mcq-2/

Q1

A 48-year-old woman with a 10-year history of rheumatoid arthritis (RA) presents to the clinic with increasing fatigue and pallor. Her joint symptoms are being managed with methotrexate, but she reports difficulty performing daily activities due to weakness. On examination, her vital signs are stable, but conjunctival pallor is evident. Laboratory investigations reveal a hemoglobin level of 9.5 g/dL, mean corpuscular volume (MCV) of 85 fL, mean corpuscular hemoglobin concentration (MCHC) of 32 g/dL, normal serum ferritin, and reduced serum iron levels.

What type of anemia is most likely associated with her condition?

A. Normochromic normocytic
B. Sideroblastic
C. Megaloblastic
D. Aplastic anemia
E. Dietary

Answer: https://freemedsite.com/medicine-mcq-1/

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بِسْمِ اللَّهِ الرَّحْمَنِ الرَّحِيمِ
"In the name of Allah, the Most Gracious, the Most Merciful."

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