SARAH MICHELLE LIVE REVIEW
FINAL EXAM QUESTIONS & ANSWERS
100% GUARANTEE PASS
1. A 65-year-old male presents with a harsh, crescendo-decrescendo systolic murmur at the
right upper sternal border that radiates to the carotids. The patient reports occasional
syncope. What is the most likely diagnosis?
A. Mitral Regurgitation
B. Mitral Stenosis
C. Aortic Regurgitation
D. Aortic Stenosis
Answer: D
Conceptual Explanation: Aortic stenosis typically presents as a harsh systolic murmur at
the right second intercostal space (right upper sternal border) radiating to the carotids,
often associated with the ‘SAD’ symptoms: Syncope, Angina, and Dyspnea.
2. Which of the following laboratory findings is most characteristic of iron deficiency anemia?
A. High MCV, high Ferritin
B. Low MCV, low TIBC
C. Low MCV, high TIBC
,D. High MCV, low Ferritin
Answer: C
Conceptual Explanation: Iron deficiency anemia is a microcytic anemia (low MCV). As
iron stores are depleted, Ferritin decreases and Total Iron Binding Capacity (TIBC)
increases as the body attempts to find more iron.
3. A patient with Type 1 Diabetes reports fasting hyperglycemia in the morning. A 3:00 AM
blood glucose check reveals a level of 60 mg/dL. Which phenomenon is occurring?
A. Dawn Phenomenon
B. Somogyi Effect
C. Insulin Resistance
D. Honeymoon Phase
Answer: B
Conceptual Explanation: The Somogyi Effect occurs when hypoglycemia at night (3 AM)
triggers a hormonal rebound (counter-regulatory hormones) leading to hyperglycemia in
the morning. The treatment is reducing the evening insulin dose.
4. A 24-year-old female presents with a ‘strawberry cervix’ and a profuse, malodorous,
yellow-green vaginal discharge. What is the first-line treatment?
A. Fluconazole 150 mg PO x1
B. Ceftriaxone 500 mg IM x1
, C. Metronidazole 500 mg BID x 7 days
D. Doxycycline 100 mg BID x 7 days
Answer: C
Conceptual Explanation: The clinical presentation describes Trichomoniasis.
Metronidazole is the recommended treatment, and both the patient and partner must be
treated.
5. A 12-month-old child should have achieved which of the following milestones?
A. Running and climbing stairs
B. Using a spoon and fork perfectly
C. Standing alone and potentially taking first steps
D. Speaking in 3-word sentences
Answer: C
Conceptual Explanation: By 12 months, infants typically stand alone, cruise, and may take
their first independent steps. 3-word sentences and running are later milestones.
6. Which physical exam finding is most indicative of acute cholecystitis?
A. McBurney’s Point tenderness
B. Murphy’s Sign
C. Rovsing’s Sign
FINAL EXAM QUESTIONS & ANSWERS
100% GUARANTEE PASS
1. A 65-year-old male presents with a harsh, crescendo-decrescendo systolic murmur at the
right upper sternal border that radiates to the carotids. The patient reports occasional
syncope. What is the most likely diagnosis?
A. Mitral Regurgitation
B. Mitral Stenosis
C. Aortic Regurgitation
D. Aortic Stenosis
Answer: D
Conceptual Explanation: Aortic stenosis typically presents as a harsh systolic murmur at
the right second intercostal space (right upper sternal border) radiating to the carotids,
often associated with the ‘SAD’ symptoms: Syncope, Angina, and Dyspnea.
2. Which of the following laboratory findings is most characteristic of iron deficiency anemia?
A. High MCV, high Ferritin
B. Low MCV, low TIBC
C. Low MCV, high TIBC
,D. High MCV, low Ferritin
Answer: C
Conceptual Explanation: Iron deficiency anemia is a microcytic anemia (low MCV). As
iron stores are depleted, Ferritin decreases and Total Iron Binding Capacity (TIBC)
increases as the body attempts to find more iron.
3. A patient with Type 1 Diabetes reports fasting hyperglycemia in the morning. A 3:00 AM
blood glucose check reveals a level of 60 mg/dL. Which phenomenon is occurring?
A. Dawn Phenomenon
B. Somogyi Effect
C. Insulin Resistance
D. Honeymoon Phase
Answer: B
Conceptual Explanation: The Somogyi Effect occurs when hypoglycemia at night (3 AM)
triggers a hormonal rebound (counter-regulatory hormones) leading to hyperglycemia in
the morning. The treatment is reducing the evening insulin dose.
4. A 24-year-old female presents with a ‘strawberry cervix’ and a profuse, malodorous,
yellow-green vaginal discharge. What is the first-line treatment?
A. Fluconazole 150 mg PO x1
B. Ceftriaxone 500 mg IM x1
, C. Metronidazole 500 mg BID x 7 days
D. Doxycycline 100 mg BID x 7 days
Answer: C
Conceptual Explanation: The clinical presentation describes Trichomoniasis.
Metronidazole is the recommended treatment, and both the patient and partner must be
treated.
5. A 12-month-old child should have achieved which of the following milestones?
A. Running and climbing stairs
B. Using a spoon and fork perfectly
C. Standing alone and potentially taking first steps
D. Speaking in 3-word sentences
Answer: C
Conceptual Explanation: By 12 months, infants typically stand alone, cruise, and may take
their first independent steps. 3-word sentences and running are later milestones.
6. Which physical exam finding is most indicative of acute cholecystitis?
A. McBurney’s Point tenderness
B. Murphy’s Sign
C. Rovsing’s Sign
