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1. Which of the following drug belongs to the Nonnucleoside reverse transcriptase inhibitor?

2. A young adult complains of fever, sore throat and lymphadenopathy for 5 days. Examination reveals bilateral enlarged tender cervical lymph nodes and enlarged spleen. Which of the following organisms is most likely responsible for this patient’s condition?

3. A 56- year-old man visits his physician complaining of lower back pain for 1 week. He was moving to a new house and carrying a lot of furniture during the last 2 weeks. He does not remember any injury or trauma to his back. His pain is not radiating, improving by rest and ibuprofen and worsening by movement. Medical, surgical and family histories are unremarkable. On examination, vital signs are within normal limits. There is a diffuse tenderness over the lumbar area. Neurological examination is normal. Laboratory tests are normal. What is the most appropriate next step of management for this patient?

4. A 90-year-old man is hospitalized from falling and breaking his hip. He has been already in the hospital for 6 days when he developed a burning sensation upon urinating. An analysis of his urine shows plenty of gram positive cocci and leukocytosis. The attendant physician treats him with trimethoprim-sulfamethoxazole. However, the fever still persists. After 2 more days, the patient develops a diastolic murmur radiating to the axilla and a low-grade fever is still persisting. Out of the following, which would be the first line treatment for the cause of the possible infection?

5. Which of the following drug is Propionic acid derivative NSAID?

6. Which of the following is the best immediate treatment for unresponsive patient with diabetic ketoacidosis?

7. A 70-year-old man is brought to the doctor having a sudden onset of severe lower back pain. Upon conducting a physical examination of the patient, severe kyphosis is revealed. An x-ray of the back shows a compression fracture in the lumbar area of a vertebral body. This is followed by marked thinning of the bones as well. Laboratory tests measuring serum calcium, alkaline phosphatase, phosphorus, and parathyroid hormone levels, all come back within the normal range. What is the most likely reason behind the bone changes in the patient?

8. Which of the following is the most common etiology of type II diabetes?

9. Prazosin blocks which of the following actions of epinephrine?

10. A patient is diagnosed with posterior dislocation of the hip. Which one of the following ligaments is most likely torn?

11. A 21 year-old college student complains of the appearance of yellowish coloration on her sclera. She mentions that she had been dizzy and weak for the last 3 days but did not feel any pain or fever and no change in stool color. Abdominal examination reveals normal bowel sounds and no tenderness or organomegaly. Laboratory tests show normal levels of liver enzymes and serum bilirubin. Which is the most likely initial diagnosis?

12. Which of the following drugs are carboxylate derivatives of ACEIs except?

13. Which one of the following drugs has a relatively lowest potential to induce drowsiness?

14. Which of the following characterizes syndrome of inappropriate antidiuretic hormone secretion?

15. A 2-month-old child is brought to the clinic by his parents with a complaint of failure to thrive. During an examination, the baby suffers a seizure. Test of stat serum chemistries indicates hyperlipidemia, severe hypoglycemia, ketosis, and lactic acidosis. Hepatomegaly is also confirmed by both physical examination and CT scan. Which of the following conditions is the child suffering from based on these findings?

16. Indapamide belongs to the one of the following class of diuretics?

17. Which one of the following drugs belongs to ANTIMETABOLITES drugs for Cancer?

18. Which of the following is the most common primary disturbance of acid-base balance in pregnant women?

19. A 40-year-old woman complains of swelling in her neck. Examination reveals a small, non-tender nodule in her thyroid. Which of the following is the best next step of action?

20. A 12-year-old girl is brought to the emergency room with her parents. Consent form the parents is needed to proceed with the treatment. The parents speak Spanish and very little English. What is the best next step of action?

21. Which of the following hormone belongs to the oral diabetic agent?

22. Which one of the following antibacterial drugs is a protein synthesis inhibitor drug?

23. An organophosphate drug that has a side effect of cataracts?

24. A 23-year-old man presents to the emergency room complaining of massive watery diarrhea for 6 hours. He doesn’t have any vomiting or abdominal pain. Stool culture reveals a curved; gram negative rod which secretes an enterotoxin contains subunit A and a binding subunit B. What is the most likely reason for this patient’s massive diarrhea?

25. Which of the following statements correctly describes the volume of distribution of a drug?