AQUIFER IM EXAM WITH PERFECT ANSWERS 2024
EXAM QUESTIONS AND ANSWERS LATEST UPDATED
2026/2027 A COMPLETE SOLUTION ALL ANSWERS
GET IT 100% CORRECT VERIFIED BEST GRADED A+
FOR SUCCESS
In a patient presenting with possible ACS, what are the next steps in
management? (3)
EKG, aspirin, troponins
Most likely diagnoses for chest pain? (5)
GERD, muscular strain, NSTEMI, PE, unstable angina
What management for a patient with ongoing chest pain due to unstable
angina? (6)
Angiography with PCI; aspirin; beta blocker; heparin; statin; sublingual
nitroglycerin --> NO ACE
Appropriate admission orders for unstable angina? (4)
Bed rest, PO metoprolol, telemetry monitoring, LMWH
What are the absolute contraindications for thrombolytics? (3)
active internal bleeding, prior hemorrhagic stroke, recent head trauma
Patient with STEMI should go home on what drugs? (6)
ACE inhibitor, aspirin, beta blocker, clopidogrel, statin, sublingual nitro
PRN
What are the top differential diagnoses for intermittent exertional chest
pain and SOB? (2)
angina, GERD
,What are risk factors for coronary artery disease? (8)
age > 55 in females, DM, dyslipidemia, family history of sudden death or
premature CAD, HTN, male sex, obesity, smoking
How to evaluate suspected angina? (4)
BMP, CBC, fasting lipid panel, TSH
What is first-line imaging for suspected angina?
CXR
What is the next step after an abnormal treadmill stress test?
coronary angiogram
When do we put patients on airborne isolation? (3)
TB, varicella, and measles
When do we put patients on contact precautions? (5)
C diff, MRSA, MDRO, hep A, and HSV
Differential for hospitalized patient with fever, diarrhea, and cough (4)
C diff, hospital-acquired pneumonia, line infx, UTI
What is initial steps in management of hospital-acquired infx?
remove central line and urinary catheter
What are baseline risk factors that make the elderly more likely to
develop delirium during hospitalization?
All! dementia, advanced age, depression, alcohol abuse, severe illness,
visual impairment, high BUN to creatinine ratio, malnutrition
What meds can cause delirium in older adults? (5)
promethazine, diphenhydramine, lorazepam, morphine, prednisone
What are some consequences of delirium? (9)
, All! increased length of stay, need for increased care at discharge,
increased risk of falling, pressure ulcers, aspiration pneumonia, PE, PTSD,
inability to participate in care, increased mortality
Delirium in usually healthy hospitalized patient post hip replacement,
what is most likely diagnoses? (2)
electrolyte imbalance, medication adverse reaction
What is in initial diagnostic eval of delirium?
CBC, chemistry panel
In a generally stable patient, what saline should be used to correct
hyponatremia?
0.9% saline (use 3% saline if patient has seizures or coma)
What is the initial evaluation for patient with AMS? (10)
broad workup: electrolytes, urine tox, serum ethanol level, serum drug
screen, CXR, urinalysis, CT of head, arterial blood gas, serum osmolality,
EKG
Differential for patient with AMS and anion gap metabolic acidosis? (3)
drug intoxication, ketoacidosis, lactic acidosis
Best treatment for hypernatremia?
IV 0.9% saline (to correct volume depletion) followed by IV dextrose in
water (hypotonic solution to lower serum sodium)
What are symptoms of hypercalcemia?
abdominal pain, AMS, constipation, fatigue, polyuria, shorterned QT
interval
What are treatments of symptomatic hypercalcemia?
Normal saline 4-6 Ls IV in first 24 hours (aggressive volume expansion);
calcitonin (impairs osteoclast function)
What test is the most important in eval of hypercalcemia?
EXAM QUESTIONS AND ANSWERS LATEST UPDATED
2026/2027 A COMPLETE SOLUTION ALL ANSWERS
GET IT 100% CORRECT VERIFIED BEST GRADED A+
FOR SUCCESS
In a patient presenting with possible ACS, what are the next steps in
management? (3)
EKG, aspirin, troponins
Most likely diagnoses for chest pain? (5)
GERD, muscular strain, NSTEMI, PE, unstable angina
What management for a patient with ongoing chest pain due to unstable
angina? (6)
Angiography with PCI; aspirin; beta blocker; heparin; statin; sublingual
nitroglycerin --> NO ACE
Appropriate admission orders for unstable angina? (4)
Bed rest, PO metoprolol, telemetry monitoring, LMWH
What are the absolute contraindications for thrombolytics? (3)
active internal bleeding, prior hemorrhagic stroke, recent head trauma
Patient with STEMI should go home on what drugs? (6)
ACE inhibitor, aspirin, beta blocker, clopidogrel, statin, sublingual nitro
PRN
What are the top differential diagnoses for intermittent exertional chest
pain and SOB? (2)
angina, GERD
,What are risk factors for coronary artery disease? (8)
age > 55 in females, DM, dyslipidemia, family history of sudden death or
premature CAD, HTN, male sex, obesity, smoking
How to evaluate suspected angina? (4)
BMP, CBC, fasting lipid panel, TSH
What is first-line imaging for suspected angina?
CXR
What is the next step after an abnormal treadmill stress test?
coronary angiogram
When do we put patients on airborne isolation? (3)
TB, varicella, and measles
When do we put patients on contact precautions? (5)
C diff, MRSA, MDRO, hep A, and HSV
Differential for hospitalized patient with fever, diarrhea, and cough (4)
C diff, hospital-acquired pneumonia, line infx, UTI
What is initial steps in management of hospital-acquired infx?
remove central line and urinary catheter
What are baseline risk factors that make the elderly more likely to
develop delirium during hospitalization?
All! dementia, advanced age, depression, alcohol abuse, severe illness,
visual impairment, high BUN to creatinine ratio, malnutrition
What meds can cause delirium in older adults? (5)
promethazine, diphenhydramine, lorazepam, morphine, prednisone
What are some consequences of delirium? (9)
, All! increased length of stay, need for increased care at discharge,
increased risk of falling, pressure ulcers, aspiration pneumonia, PE, PTSD,
inability to participate in care, increased mortality
Delirium in usually healthy hospitalized patient post hip replacement,
what is most likely diagnoses? (2)
electrolyte imbalance, medication adverse reaction
What is in initial diagnostic eval of delirium?
CBC, chemistry panel
In a generally stable patient, what saline should be used to correct
hyponatremia?
0.9% saline (use 3% saline if patient has seizures or coma)
What is the initial evaluation for patient with AMS? (10)
broad workup: electrolytes, urine tox, serum ethanol level, serum drug
screen, CXR, urinalysis, CT of head, arterial blood gas, serum osmolality,
EKG
Differential for patient with AMS and anion gap metabolic acidosis? (3)
drug intoxication, ketoacidosis, lactic acidosis
Best treatment for hypernatremia?
IV 0.9% saline (to correct volume depletion) followed by IV dextrose in
water (hypotonic solution to lower serum sodium)
What are symptoms of hypercalcemia?
abdominal pain, AMS, constipation, fatigue, polyuria, shorterned QT
interval
What are treatments of symptomatic hypercalcemia?
Normal saline 4-6 Ls IV in first 24 hours (aggressive volume expansion);
calcitonin (impairs osteoclast function)
What test is the most important in eval of hypercalcemia?
