SARAH MICHELLE LIVE REVIEW
COMPREHENSIVE STUDY GUIDE
QUESTIONS & ANSWERS 100%
GUARANTEE PASS
1. A 65-year-old male with a history of diabetes mellitus presents with a blood pressure of
155/95 mmHg. Which of the following is the most appropriate first-line antihypertensive
agent?
A. Amlodipine
B. Metoprolol
C. Lisinopril
D. Hydrochlorothiazide
Answer: C
Conceptual Explanation: For patients with diabetes and hypertension, ACE inhibitors
(like Lisinopril) or ARBs are preferred first-line due to their renal protective effects.
2. Which heart murmur is characterized as a holosystolic murmur heard best at the apex and
radiates to the axilla?
A. Mitral Regurgitation
B. Aortic Regurgitation
,C. Mitral Stenosis
D. Aortic Stenosis
Answer: A
Conceptual Explanation: Mitral regurgitation is a holosystolic murmur heard at the apex
that typically radiates to the left axilla.
3. A positive Murphy’s sign is most indicative of which clinical condition?
A. Acute Appendicitis
B. Acute Cholecystitis
C. Acute Pancreatitis
D. Diverticulitis
Answer: B
Conceptual Explanation: Murphy’s sign is a test for gallbladder disease; pain and
inspiratory arrest upon palpation of the RUQ suggest cholecystitis.
4. A patient presents with a TSH of 0.1 mIU/L and a high Free T4. Which diagnosis is most
likely?
A. Hashimoto’s Thyroiditis
B. Secondary Hypothyroidism
C. Grave’s Disease
, D. Subclinical Hypothyroidism
Answer: C
Conceptual Explanation: Low TSH combined with high Free T4 indicates
hyperthyroidism, of which Grave’s disease is the most common cause.
5. Which of the following findings is most characteristic of iron deficiency anemia on a CBC?
A. Macrocytic, Normochromic
B. Microcytic, Hypochromic with Normal RDW
C. Microcytic, Hypochromic with High RDW
D. Normocytic, Normochromic
Answer: C
Conceptual Explanation: Iron deficiency anemia is microcytic and hypochromic, and a
high RDW is a hallmark finding indicating varying sizes of RBCs as the body runs out of
iron.
6. A 24-year-old female presents with a ‘velvety,’ well-demarcated, bright red rash on the
face with an elevated border. This is most likely:
A. Cellulitis
B. Impetigo
C. Erysipelas
D. Rosacea
COMPREHENSIVE STUDY GUIDE
QUESTIONS & ANSWERS 100%
GUARANTEE PASS
1. A 65-year-old male with a history of diabetes mellitus presents with a blood pressure of
155/95 mmHg. Which of the following is the most appropriate first-line antihypertensive
agent?
A. Amlodipine
B. Metoprolol
C. Lisinopril
D. Hydrochlorothiazide
Answer: C
Conceptual Explanation: For patients with diabetes and hypertension, ACE inhibitors
(like Lisinopril) or ARBs are preferred first-line due to their renal protective effects.
2. Which heart murmur is characterized as a holosystolic murmur heard best at the apex and
radiates to the axilla?
A. Mitral Regurgitation
B. Aortic Regurgitation
,C. Mitral Stenosis
D. Aortic Stenosis
Answer: A
Conceptual Explanation: Mitral regurgitation is a holosystolic murmur heard at the apex
that typically radiates to the left axilla.
3. A positive Murphy’s sign is most indicative of which clinical condition?
A. Acute Appendicitis
B. Acute Cholecystitis
C. Acute Pancreatitis
D. Diverticulitis
Answer: B
Conceptual Explanation: Murphy’s sign is a test for gallbladder disease; pain and
inspiratory arrest upon palpation of the RUQ suggest cholecystitis.
4. A patient presents with a TSH of 0.1 mIU/L and a high Free T4. Which diagnosis is most
likely?
A. Hashimoto’s Thyroiditis
B. Secondary Hypothyroidism
C. Grave’s Disease
, D. Subclinical Hypothyroidism
Answer: C
Conceptual Explanation: Low TSH combined with high Free T4 indicates
hyperthyroidism, of which Grave’s disease is the most common cause.
5. Which of the following findings is most characteristic of iron deficiency anemia on a CBC?
A. Macrocytic, Normochromic
B. Microcytic, Hypochromic with Normal RDW
C. Microcytic, Hypochromic with High RDW
D. Normocytic, Normochromic
Answer: C
Conceptual Explanation: Iron deficiency anemia is microcytic and hypochromic, and a
high RDW is a hallmark finding indicating varying sizes of RBCs as the body runs out of
iron.
6. A 24-year-old female presents with a ‘velvety,’ well-demarcated, bright red rash on the
face with an elevated border. This is most likely:
A. Cellulitis
B. Impetigo
C. Erysipelas
D. Rosacea
