history of hypertension, and complaints of weakness in her left
arm. Upon assessment, her blood pressure is elevated, and she has
reduced sensation in her left arm.
Question: Which part of the nervous system is most likely affected in
this patient?
A. Spinal cord
B. Cerebellum
C. Cerebrum
D. Brainstem
Answer: C. Cerebrum
Rationale: The patient’s symptoms, including weakness and sensory
changes localized to one side of the body, suggest a possible
cerebrovascular accident (stroke) affecting the cerebrum.
2. Case Study: A 30-year-old male complains of increased thirst,
frequent urination, and fatigue. Laboratory tests reveal high blood
glucose levels.
Question: Which organ is most responsible for regulating the patient’s
blood glucose levels?
A. Liver
B. Pancreas
C. Kidneys
D. Heart
Answer: B. Pancreas
Rationale: The pancreas produces insulin, which is responsible for
regulating blood glucose levels. In this patient, a lack of insulin or
insulin resistance could explain the symptoms of high blood glucose.
,3. Case Study: A 45-year-old male presents with shortness of
breath, wheezing, and a chronic cough. He has a history of
smoking and a family history of respiratory issues.
Question: Which condition is most likely causing these symptoms?
A. Emphysema
B. Pneumonia
C. Bronchitis
D. Asthma
Answer: A. Emphysema
Rationale: Emphysema, a form of chronic obstructive pulmonary
disease (COPD), is common in smokers and can cause shortness of
breath, wheezing, and a chronic cough due to damage to the alveoli in
the lungs.
4. Case Study: A 25-year-old female presents with fatigue, cold
intolerance, and weight gain. Laboratory tests show elevated TSH
levels and low T3 and T4 levels.
Question: What is the most likely diagnosis for this patient?
A. Hyperthyroidism
B. Hypothyroidism
C. Diabetes Mellitus
D. Addison's Disease
Answer: B. Hypothyroidism
Rationale: The patient’s symptoms and lab results suggest
hypothyroidism, characterized by low thyroid hormone levels (T3 and
T4) and elevated TSH as the body attempts to compensate.
, 5. Case Study: A 50-year-old female presents with a history of
joint pain, morning stiffness, and swollen joints. Blood tests show
positive rheumatoid factor.
Question: What is the most likely cause of this patient's joint
symptoms?
A. Osteoarthritis
B. Rheumatoid Arthritis
C. Gout
D. Lupus
Answer: B. Rheumatoid Arthritis
Rationale: Rheumatoid arthritis is an autoimmune disease that causes
joint inflammation and is commonly associated with a positive
rheumatoid factor.
6. Case Study: A 70-year-old male presents with a sudden onset of
severe chest pain radiating to the left arm and jaw. He is sweaty
and anxious.
Question: What is the most likely cause of these symptoms?
A. Aortic aneurysm
B. Myocardial infarction
C. Pulmonary embolism
D. Gastritis
Answer: B. Myocardial infarction
Rationale: The symptoms of chest pain radiating to the left arm and
jaw, along with sweating and anxiety, are classic signs of a myocardial
infarction (heart attack).