SARAH MICHELLE LIVE REVIEW
FINAL EXAM 2026/2027 QUESTIONS &
ANSWERS 100% GUARANTEE PASS
1. A 68-year-old male presents with a new onset of a harsh systolic murmur heard best at the
second intercostal space, right sternal border, radiating to the carotids. What is the most
likely diagnosis?
A. Mitral Regurgitation
B. Aortic Stenosis
C. Mitral Stenosis
D. Aortic Regurgitation
Answer: B
Conceptual Explanation: Aortic Stenosis is characterized by a harsh systolic murmur at
the right upper sternal border radiating to the neck. Mitral Regurgitation is a holosystolic
murmur at the apex. Aortic Regurgitation is diastolic.
2. Which of the following findings is most characteristic of the ‘Dawn Phenomenon’ in a
patient with Type 1 Diabetes?
A. Hypoglycemia at 3 AM followed by rebound hyperglycemia in the morning.
,B. Normal blood glucose throughout the night with hyperglycemia in the morning due to
growth hormone surge.
C. Post-prandial spikes after breakfast regardless of morning glucose.
D. Hyperglycemia at 3 AM that persists until the next dose of insulin.
Answer: B
Conceptual Explanation: The Dawn Phenomenon is caused by a surge in growth hormone
and cortisol in the early morning, leading to morning hyperglycemia. Option A describes
the Somogyi Effect.
3. A patient is diagnosed with a Microcytic, Hypochromic anemia with an elevated RDW.
What is the most probable diagnosis?
A. Iron Deficiency Anemia
B. Vitamin B12 Deficiency
C. Thalassemia
D. Folic Acid Deficiency
Answer: A
Conceptual Explanation: Iron Deficiency Anemia presents as microcytic/hypochromic
with an increased Red Cell Distribution Width (RDW) as new, smaller cells are produced.
Thalassemia typically has a normal RDW.
, 4. According to current JNC 8/ACC/AHA guidelines, what is the initial preferred
pharmacological class for a black patient with hypertension and no chronic kidney disease?
A. ACE Inhibitors
B. Thiazide-type diuretics or Calcium Channel Blockers
C. Beta-Blockers
D. ARBs
Answer: B
Conceptual Explanation: For the black population, initial treatment for hypertension
should include a thiazide-type diuretic or calcium channel blocker, even for those with
diabetes.
5. An 8-year-old child presents with a ‘slapped-cheek’ rash and a lacy, reticular rash on the
trunk. Which virus is the most likely cause?
A. Parvovirus B19
B. Coxsackievirus A16
C. Human Herpesvirus 6
D. Varicella Zoster Virus
Answer: A
Conceptual Explanation: Parvovirus B19 causes Fifth Disease (Erythema Infectiosum),
characterized by the slapped-cheek appearance and reticular rash.
FINAL EXAM 2026/2027 QUESTIONS &
ANSWERS 100% GUARANTEE PASS
1. A 68-year-old male presents with a new onset of a harsh systolic murmur heard best at the
second intercostal space, right sternal border, radiating to the carotids. What is the most
likely diagnosis?
A. Mitral Regurgitation
B. Aortic Stenosis
C. Mitral Stenosis
D. Aortic Regurgitation
Answer: B
Conceptual Explanation: Aortic Stenosis is characterized by a harsh systolic murmur at
the right upper sternal border radiating to the neck. Mitral Regurgitation is a holosystolic
murmur at the apex. Aortic Regurgitation is diastolic.
2. Which of the following findings is most characteristic of the ‘Dawn Phenomenon’ in a
patient with Type 1 Diabetes?
A. Hypoglycemia at 3 AM followed by rebound hyperglycemia in the morning.
,B. Normal blood glucose throughout the night with hyperglycemia in the morning due to
growth hormone surge.
C. Post-prandial spikes after breakfast regardless of morning glucose.
D. Hyperglycemia at 3 AM that persists until the next dose of insulin.
Answer: B
Conceptual Explanation: The Dawn Phenomenon is caused by a surge in growth hormone
and cortisol in the early morning, leading to morning hyperglycemia. Option A describes
the Somogyi Effect.
3. A patient is diagnosed with a Microcytic, Hypochromic anemia with an elevated RDW.
What is the most probable diagnosis?
A. Iron Deficiency Anemia
B. Vitamin B12 Deficiency
C. Thalassemia
D. Folic Acid Deficiency
Answer: A
Conceptual Explanation: Iron Deficiency Anemia presents as microcytic/hypochromic
with an increased Red Cell Distribution Width (RDW) as new, smaller cells are produced.
Thalassemia typically has a normal RDW.
, 4. According to current JNC 8/ACC/AHA guidelines, what is the initial preferred
pharmacological class for a black patient with hypertension and no chronic kidney disease?
A. ACE Inhibitors
B. Thiazide-type diuretics or Calcium Channel Blockers
C. Beta-Blockers
D. ARBs
Answer: B
Conceptual Explanation: For the black population, initial treatment for hypertension
should include a thiazide-type diuretic or calcium channel blocker, even for those with
diabetes.
5. An 8-year-old child presents with a ‘slapped-cheek’ rash and a lacy, reticular rash on the
trunk. Which virus is the most likely cause?
A. Parvovirus B19
B. Coxsackievirus A16
C. Human Herpesvirus 6
D. Varicella Zoster Virus
Answer: A
Conceptual Explanation: Parvovirus B19 causes Fifth Disease (Erythema Infectiosum),
characterized by the slapped-cheek appearance and reticular rash.
