| 1. | A 58-year-old patient is newly diagnosed with diabetes mellitus. He reports a 6 kg unintentional weight loss over 2 months and vague epigastric discomfort. The patient has a documented iodine allergy. What is the preferred imaging modality after initial assessment to evaluate for possible pancreatic malignancy? |
| A. | Ultrasound. |
| B. | MRCP. |
| C. | PET-CT. |
| D. | Endoscopic ultrasound. |
| E. | Plain CT without contrast. |
| 2. | Which NODM patient profile(s) should raise clinical suspicion of an underlying pancreatic cancer? |
| A. | Young adult with a family history of type 2 DM and obesity. |
| B. | Elderly lean patient with rapid insulin needs. |
| C. | Middle-age smoker with a gradual rise in HbA1c. |
| D. | Elderly patient with persistent back pain and weight loss >5%. |
| E. | B and D. |
| 3. | Which of the following is the best treatment for prurigo pigmentosa? |
| A. | Topical steroid. |
| B. | Oral antihistamines. |
| C. | Topical antibiotics. |
| D. | Oral tetracycline antibiotics. |
| E. | Topical antifungal cream. |
| 4. | Which of the following is/are common differential diagnosis(es) for prurigo pigmentosa? |
| A. | Urticaria. |
| B. | Eczema. |
| C. | Contact dermatitis. |
| D. | Scabies. |
| E. | All of the above. |
| 5. | Based on clinical data regarding acyclovir-induced neurotoxicity, which of the following triads of symptoms and signs are the most commonly observed in those affected patients? |
| A. | Confusion, hallucinations, and unsteady gait. |
| B. | High fever, neck stiffness, and photophobia. |
| C. | Hemiparesis, facial drooping, and aphasia. |
| D. | Projectile vomiting, bradycardia, and hypertension. |
| E. | Ascending paralysis, loss of deep tendon reflexes, and paresthesia. |
| 6. | A 75-year-old man with a creatinine clearance of 25 mL/min is prescribed oral acyclovir for herpes zoster. According to standard guidelines for renal adjustment, what is the most appropriate dosing strategy for this patient? |
| A. | The standard dose of 800 mg five times daily. |
| B. | 800 mg three times daily (every 8 hours). |
| C. | 800 mg once daily. |
| D. | 200 mg five times daily. |
| E. | Acyclovir is contraindicated; switch to a topical agent. |