Comprehensive Final SU Exam 7 | Complete
Practice Questions with Correct Answers &
Detailed Rationales | Latest Update 2026
Question 1
A 68-year-old man with hypertension, diabetes mellitus, and hyperlipidemia presents for an
annual wellness examination. His blood pressure is 148/92 mmHg despite taking lisinopril daily.
According to current hypertension guidelines, what is the most appropriate next step?
A. Continue current therapy and recheck in one year
B. Add a second antihypertensive medication while reinforcing lifestyle modifications
C. Stop lisinopril and begin a beta-blocker
D. Recommend dietary changes only
Correct Answer: B. Add a second antihypertensive medication while reinforcing lifestyle
modifications
Rationale
Patients with persistent hypertension despite treatment often require combination therapy.
Lifestyle interventions should continue, including sodium restriction, regular exercise, weight
management, and limiting alcohol intake. Combination therapy has been shown to improve
blood pressure control in high-risk patients.
Question 2
A 57-year-old woman reports crushing substernal chest pain radiating to her left arm associated
with diaphoresis and nausea.
Which diagnosis should be considered first?
A. Gastroesophageal reflux disease
B. Stable angina
C. Acute myocardial infarction
D. Costochondritis
,Comprehensive Final SU Exam 7 | Complete
Practice Questions with Correct Answers &
Detailed Rationales | Latest Update 2026
Correct Answer: C. Acute Myocardial Infarction
Rationale
Classic symptoms of myocardial infarction include:
• Crushing substernal chest pain
• Radiation to the jaw or left arm
• Diaphoresis
• Nausea
• Shortness of breath
Immediate ECG and cardiac biomarkers should be obtained.
Question 3
Which laboratory test rises earliest after myocardial injury?
A. Troponin I
B. CK-MB
C. BNP
D. D-dimer
Correct Answer: A. Troponin I
Rationale
Cardiac troponins are highly sensitive and specific markers for myocardial injury and remain
elevated for several days after infarction.
Question 4
,Comprehensive Final SU Exam 7 | Complete
Practice Questions with Correct Answers &
Detailed Rationales | Latest Update 2026
A patient with atrial fibrillation has a CHA₂DS₂-VASc score of 5.
Which therapy best reduces stroke risk?
A. Aspirin only
B. Oral anticoagulation
C. Clopidogrel only
D. No therapy
Correct Answer: B. Oral Anticoagulation
Rationale
Patients with elevated CHA₂DS₂-VASc scores require anticoagulation to reduce embolic stroke
risk unless contraindicated.
Question 5
A 72-year-old woman presents after a low-impact fall resulting in a hip fracture.
Which underlying condition should be strongly suspected?
A. Osteoarthritis
B. Osteoporosis
C. Rheumatoid arthritis
D. Fibromyalgia
Correct Answer: B. Osteoporosis
Rationale
, Comprehensive Final SU Exam 7 | Complete
Practice Questions with Correct Answers &
Detailed Rationales | Latest Update 2026
Fragility fractures occurring after minimal trauma strongly suggest osteoporosis. Bone mineral
density testing with DEXA is indicated.
Question 6
Which DEXA scan T-score confirms osteoporosis?
A. –0.8
B. –1.4
C. –2.6
D. +1.0
Correct Answer: C. –2.6
Rationale
• Normal: ≥ –1.0
• Osteopenia: –1.0 to –2.4
• Osteoporosis: ≤ –2.5
Question 7
Which medication is considered first-line pharmacologic therapy for osteoporosis?
A. Prednisone
B. Alendronate
C. Ibuprofen
D. Acetaminophen
Correct Answer: B. Alendronate
Practice Questions with Correct Answers &
Detailed Rationales | Latest Update 2026
Question 1
A 68-year-old man with hypertension, diabetes mellitus, and hyperlipidemia presents for an
annual wellness examination. His blood pressure is 148/92 mmHg despite taking lisinopril daily.
According to current hypertension guidelines, what is the most appropriate next step?
A. Continue current therapy and recheck in one year
B. Add a second antihypertensive medication while reinforcing lifestyle modifications
C. Stop lisinopril and begin a beta-blocker
D. Recommend dietary changes only
Correct Answer: B. Add a second antihypertensive medication while reinforcing lifestyle
modifications
Rationale
Patients with persistent hypertension despite treatment often require combination therapy.
Lifestyle interventions should continue, including sodium restriction, regular exercise, weight
management, and limiting alcohol intake. Combination therapy has been shown to improve
blood pressure control in high-risk patients.
Question 2
A 57-year-old woman reports crushing substernal chest pain radiating to her left arm associated
with diaphoresis and nausea.
Which diagnosis should be considered first?
A. Gastroesophageal reflux disease
B. Stable angina
C. Acute myocardial infarction
D. Costochondritis
,Comprehensive Final SU Exam 7 | Complete
Practice Questions with Correct Answers &
Detailed Rationales | Latest Update 2026
Correct Answer: C. Acute Myocardial Infarction
Rationale
Classic symptoms of myocardial infarction include:
• Crushing substernal chest pain
• Radiation to the jaw or left arm
• Diaphoresis
• Nausea
• Shortness of breath
Immediate ECG and cardiac biomarkers should be obtained.
Question 3
Which laboratory test rises earliest after myocardial injury?
A. Troponin I
B. CK-MB
C. BNP
D. D-dimer
Correct Answer: A. Troponin I
Rationale
Cardiac troponins are highly sensitive and specific markers for myocardial injury and remain
elevated for several days after infarction.
Question 4
,Comprehensive Final SU Exam 7 | Complete
Practice Questions with Correct Answers &
Detailed Rationales | Latest Update 2026
A patient with atrial fibrillation has a CHA₂DS₂-VASc score of 5.
Which therapy best reduces stroke risk?
A. Aspirin only
B. Oral anticoagulation
C. Clopidogrel only
D. No therapy
Correct Answer: B. Oral Anticoagulation
Rationale
Patients with elevated CHA₂DS₂-VASc scores require anticoagulation to reduce embolic stroke
risk unless contraindicated.
Question 5
A 72-year-old woman presents after a low-impact fall resulting in a hip fracture.
Which underlying condition should be strongly suspected?
A. Osteoarthritis
B. Osteoporosis
C. Rheumatoid arthritis
D. Fibromyalgia
Correct Answer: B. Osteoporosis
Rationale
, Comprehensive Final SU Exam 7 | Complete
Practice Questions with Correct Answers &
Detailed Rationales | Latest Update 2026
Fragility fractures occurring after minimal trauma strongly suggest osteoporosis. Bone mineral
density testing with DEXA is indicated.
Question 6
Which DEXA scan T-score confirms osteoporosis?
A. –0.8
B. –1.4
C. –2.6
D. +1.0
Correct Answer: C. –2.6
Rationale
• Normal: ≥ –1.0
• Osteopenia: –1.0 to –2.4
• Osteoporosis: ≤ –2.5
Question 7
Which medication is considered first-line pharmacologic therapy for osteoporosis?
A. Prednisone
B. Alendronate
C. Ibuprofen
D. Acetaminophen
Correct Answer: B. Alendronate
