1. A 50-year-old male patient presents with a chronic cough and shortness
of breath. A CT scan shows a mass in the upper lobe of the right lung.
Which of the following genetic mutations is most commonly associated
with this presentation?
A. KRAS
B. EGFR
C. ALK
D. BRAF
Answer: B. EGFR
Rationale: Epidermal growth factor receptor (EGFR) mutations are
commonly associated with non-small cell lung cancers, particularly in
patients with a history of smoking.
2. A 25-year-old female patient is diagnosed with systemic lupus
erythematosus (SLE). Which pathophysiological mechanism is primarily
involved in the development of SLE?
A. Cell-mediated immunity
B. Humoral immunity
C. Complement system activation
D. Phagocytosis
Answer: B. Humoral immunity
Rationale: SLE is characterized by the production of autoantibodies and
immune complexes, which are components of humoral immunity.
3. A patient with a history of hypertension and diabetes mellitus is found
to have proteinuria. Which pathophysiological process is most likely
responsible for this finding?
A. Glomerular hyperfiltration
B. Tubular reabsorption
C. Decreased renal threshold
D. Renal artery stenosis
Answer: A. Glomerular hyperfiltration
Rationale: In patients with diabetes, glomerular hyperfiltration can lead
to kidney damage and proteinuria.
4. A 40-year-old patient presents with fatigue, weight gain, and cold
intolerance. Laboratory tests reveal low serum T3 and T4 levels. Which of
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