Archives: Medical Student Finals

MSFinals-4910

What is the mode of action of bisphosphonates in the management of osteoporosis?

MSFinals-4911

A 64-year-old retired accountant presents with symptoms of resting tremor and bradykinesia and is referred to the Neurology Clinic. After diagnosis of Parkinson’s disease, the patient is prescribed anti-Parkinson’s medication. Which of the following drugs is a catechol-O-methyltransferase (COMT) inhibitor?

MSFinals-4912

A 21-year-old presents to the emergency department after taking an overdose of paracetamol and half a bottle of rum following a recent breakup. Their medical history includes epilepsy treated with carbamazepine and depression treated with citalopram. They smoke 10 cigarettes a day and typically consume 4 units of alcohol per week. What aspect of their medical history places them at the greatest risk for liver damage?

MSFinals-4914

A woman has been diagnosed with a sexually transmitted infection. The underlying organism is an obligate intracellular bacteria. The patient has agreed to treatment of the infection and has no known allergies. However, she is a homeless woman without fixed abode, and you are concerned with her potential treatment compliance.
Which of the following would be most appropriate?

MSFinals-4916

A 50-year-old man complains of pain and swelling in his left big toe. He has just begun treatment for active tuberculosis. Which of the following drugs is most likely causing these symptoms?

MSFinals-4917

The INR of a patient who has recently started treatment for tuberculosis drops from 2.6 to 1.3. Which one of the following medications is most likely to be responsible? Also, can you identify the medication if the patient is 65 years old?

MSFinals-4918

A 25-year-old individual consumes approximately 750 ml of whiskey during a night out. The following day, they experience increased thirst and notice an increase in urine output. What is the most plausible explanation for the development of polyuria in individuals who consume excessive amounts of alcohol?

MSFinals-4919

A 20-year-old man is brought to the Emergency Department (ED) after being discovered unconscious in his apartment by his girlfriend. The patient had phoned his girlfriend to inform her that he had consumed a significant amount of different tablets but now regrets doing so. The type of tablets ingested is unknown.
Which of the following toxic drugs is correctly matched with its antidote?