Questions and Answers for Medical Students | Clinical

Q- A patient develops severe hypotension, rash, and bronchospasm after a bee sting. What is the first-line treatment?

A- Antihistamines

B- Corticosteroids

C- Epinephrine

D- Oxygen

C- Epinephrine- Epinephrine is the first-line treatment for anaphylaxis.

Q- A 72-year-old man presents with progressive confusion and lethargy. Labs show calcium 14.5 mg/dL.

What is the next best step in management?

A- Calcitonin and intravenous fluids

B- Emergent dialysis

C- Oral bisphosphonates

D- Prednisone therapy

A- Calcitonin and intravenous fluids- Severe symptomatic hypercalcemia requires rapid treatment with aggressive IV fluids and calcitonin.

Q- A 48-year-old man with chronic alcohol use presents with confusion, ophthalmoplegia, and gait instability.

What is the most appropriate initial treatment?

A- Folic acid

B- Intravenous glucose before vitamins

C- Oral vitamin B12

D- Thiamine before glucose

D- Thiamine before glucose- Wernicke encephalopathy requires immediate thiamine replacement before glucose administration.

Questions and Answers for Medical Students- Clinical-2