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NEW QUESTION 46
A man with prostate cancer presents with severe, sudden back pain. His MRI shows cord compression, and he is started on steroids.
What is the next best step in management?

• A. Flutamide and leuprolide simultaneously
• B. Leuprolide followed by flutamide
• C. Ketoconazole
• D. Flutamide

Answer: D

NEW QUESTION 47
A 32-year-old woman comes to the emergency department with lower abdominal pain and tenderness, fever leukocytosis, and cervical motion tenderness.
What is the next best step in the management of this patient?

• A. Ceftriaxone and doxycycline
• B. Laparoscopy
• C. Pelvic sonogram
• D. Urine pregnancy test

Answer: D

NEW QUESTION 48
A homeless lady presents with cough and fever. She complains of night sweats and weight loss. CXR has opacity.
What is the next appropriate management?

• A. CT chest
• B. Mantoux
• C. IFN gamma testing
• D. AFB
• E. Bronchoscopy

Answer: D

NEW QUESTION 49
A 45-year-old man on lithium for a bipolar disorder developed congestive heart failure 2 weeks ago. He now presents with drowsiness, nausea, vomiting, blurred vision and coarse tremors.
Which of the following concurrent medications, if taken in combination with lithium, would be most likely to cause these symptoms?

• A. Hydrochlorothiazide
• B. Furosemide
• C. Spironolactone
• D. Acetazolamide

Answer: A

NEW QUESTION 50
A 65-year-old man presents with significant weight loss and complains of cough, SOB and chest pain. Exam constricted, drooping of left eyelid.
What is the most likely diagnosis?

• A. Pneumonia
• B. Bronchogenic carcinoma
• C. Cervical rib
• D. Pancoast tumor
• E. Thoracic outlet syndrome

Answer: D

NEW QUESTION 51
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