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A diabetic patient is confused, sweating, and trembling. Blood glucose is 38 mg/dL. What is the immediate priority? A. Give insulin B. Correct the hypoglycemia immediately C. Restrict fluids D. Give oral antibiotics – at Gusau, Nigeria

A patient with asthma becomes exhausted, and wheezing suddenly disappears despite worsening breathlessness. What does this suggest? A. Recovery B. Severe airflow obstruction C. Mild anxiety D. Simple allergic rhinitis – at Gusau, Nigeria

A child develops recurrent infections, pallor, and easy bruising. Blood tests show blasts in the bone marrow. What should be suspected? A. Leukemia B. Iron deficiency C. Hemophilia D. Sickle cell trait

A patient has painful urination, urinary frequency, and urgency without fever or flank pain. What is most likely? A. Pyelonephritis B. Renal infarction C. Nephrotic syndrome D. Acute cystitis – at Gusau, Nigeria

A child has a barking cough and a harsh sound when breathing in. What is the most likely diagnosis? A. Croup B. Bronchiolitis C. Asthma D. Pneumonia – at Gusau, Nigeria

A patient with diabetes has numbness and burning pain in both feet. What is the most likely complication? A. Nephropathy B. Peripheral neuropathy C. Retinopathy D. Gastroparesis – at Gusau, Nigeria

Which enzyme is commonly elevated in acute pancreatitis? A. Lipase B. Troponin C. Creatine kinase D. Alkaline phosphatase only – at Gusau, Nigeria

A person experiences persistent low mood and loss of interest for several weeks, affecting daily functioning. Which condition is most likely? A. Major depressive disorder B. Panic disorder C. OCD D. Specific phobia – at Gusau, Nigeria

A diabetic patient is confused, sweating, and trembling. Blood glucose is 38 mg/dL. What is the immediate priority? A. Give insulin B. Correct the hypoglycemia immediately C. Restrict fluids D. Give oral antibiotics – at Gusau, Nigeria

A patient has recurrent kidney stones, high calcium, and low phosphate levels. Which condition is most likely? A. Hypoparathyroidism B. Primary hyperparathyroidism C. Hypothyroidism D. Addison disease – at Gusau, Nigeria

patient develops weakness in both legs, followed by ascending paralysis after a recent infection. What is the likely diagnosis? A. Guillain-Barré syndrome B. Parkinson’s disease C. Myasthenia gravis D. Bell’s palsy – at Gusau, Nigeria

A patient has blood pressure of 220/130 mmHg with confusion and visual disturbances. What is the most likely diagnosis? A. White-coat hypertension B. Hypertensive emergency C. Stable angina D. Vasovagal syncope

Which organ is primarily responsible for producing albumin? A. Kidney B. Liver C. Pancreas D. Spleen – at Gusau, Nigeria

A person repeatedly checks locked doors because of intrusive fears that the house is unsafe. The behavior temporarily reduces anxiety. What is the likely condition? A. Panic disorder B. Obsessive-compulsive disorder C. Bipolar disorder D. Social anxiety disorder – at Gusau, Nigeria

A patient has fever, confusion, rapid breathing, and dangerously low blood pressure due to infection. What is the likely condition? A. Migraine B. Septic shock C. Stable angina D. Allergic rhinitis – at Gusau, Nigeria

Which organ is primarily responsible for producing albumin? A. Kidney B. Liver C. Pancreas D. Spleen – at Gusau, Nigeria

A person repeatedly checks locked doors because of intrusive fears that the house is unsafe. The behavior temporarily reduces anxiety. What is the likely condition? A. Panic disorder B. Obsessive-compulsive disorder C. Bipolar disorder D. Social anxiety disorder – at Gusau, Nigeria

A patient has fever, confusion, rapid breathing, and dangerously low blood pressure due to infection. What is the likely condition? A. Migraine B. Septic shock C. Stable angina D. Allergic rhinitis – at Gusau, Nigeria

A patient develops a drooping eyelid that worsens throughout the day and improves with rest. What is the likely diagnosis? A. Parkinson’s disease B. Myasthenia gravis C. Multiple sclerosis D. Bell’s palsy – at Gusau, Nigeria

A patient has fatigue, weight loss, low blood pressure, and darkened skin. Which condition is most likely? A. Cushing syndrome B. Addison disease C. Graves disease D. Acromegaly – at Gusau, Nigeria