SARAH MICHELLE LIVE REVIEW
PRACTICE EXAM QUESTIONS &
ANSWERS 100% GUARANTEE PASS
1. A 65-year-old patient presents with a harsh, crescendo-decrescendo systolic murmur heard
best at the second right intercostal space, which radiates to the carotids. What is the most
likely diagnosis?
A. Aortic Stenosis
B. Mitral Regurgitation
C. Mitral Stenosis
D. Aortic Regurgitation
Answer: A
Conceptual Explanation: Aortic stenosis is characterized by a harsh systolic crescendo-
decrescendo murmur at the right upper sternal border that radiates to the carotid arteries.
2. A 32-year-old female presents with tremors, heat intolerance, and a low TSH with an
elevated Free T4. Which condition is the most probable cause?
A. Hashimoto’s Thyroiditis
B. Grave’s Disease
C. Subacute Thyroiditis
,D. Iodine Deficiency
Answer: B
Conceptual Explanation: Low TSH and high Free T4 indicates hyperthyroidism; Grave’s
disease is the most common cause of hyperthyroidism in young women.
3. When prescribing Metformin for a patient with Type 2 Diabetes, at what Glomerular
Filtration Rate (GFR) level should the medication be discontinued?
A. GFR < 30 mL/min
B. GFR < 45 mL/min
C. GFR < 60 mL/min
D. GFR < 15 mL/min
Answer: A
Conceptual Explanation: Metformin is contraindicated in patients with a GFR below 30
mL/min due to the increased risk of lactic acidosis.
4. Which of the following side effects is most uniquely associated with ACE inhibitors like
Lisinopril?
A. Hyperkalemia
B. Peripheral Edema
C. Bradycardia
D. Dry, hacking cough
, Answer: D
Conceptual Explanation: ACE inhibitors lead to an accumulation of bradykinin, which
causes a persistent dry cough in up to 20% of patients.
5. Using the CURB-65 criteria for community-acquired pneumonia, which score would
generally indicate the need for inpatient hospitalization?
A. 0
B. 1
C. A score is not used for hospitalization decisions
D. 2 or higher
Answer: D
Conceptual Explanation: A CURB-65 score of 2 or higher suggests the need for short-stay
inpatient treatment or intensive outpatient management, while 3+ usually requires
hospitalization.
6. In a patient with Microcytic Anemia and a low Ferritin level, what is the most likely
diagnosis?
A. Iron Deficiency Anemia
B. Thalassemia
C. Vitamin B12 Deficiency
D. Anemia of Chronic Disease
PRACTICE EXAM QUESTIONS &
ANSWERS 100% GUARANTEE PASS
1. A 65-year-old patient presents with a harsh, crescendo-decrescendo systolic murmur heard
best at the second right intercostal space, which radiates to the carotids. What is the most
likely diagnosis?
A. Aortic Stenosis
B. Mitral Regurgitation
C. Mitral Stenosis
D. Aortic Regurgitation
Answer: A
Conceptual Explanation: Aortic stenosis is characterized by a harsh systolic crescendo-
decrescendo murmur at the right upper sternal border that radiates to the carotid arteries.
2. A 32-year-old female presents with tremors, heat intolerance, and a low TSH with an
elevated Free T4. Which condition is the most probable cause?
A. Hashimoto’s Thyroiditis
B. Grave’s Disease
C. Subacute Thyroiditis
,D. Iodine Deficiency
Answer: B
Conceptual Explanation: Low TSH and high Free T4 indicates hyperthyroidism; Grave’s
disease is the most common cause of hyperthyroidism in young women.
3. When prescribing Metformin for a patient with Type 2 Diabetes, at what Glomerular
Filtration Rate (GFR) level should the medication be discontinued?
A. GFR < 30 mL/min
B. GFR < 45 mL/min
C. GFR < 60 mL/min
D. GFR < 15 mL/min
Answer: A
Conceptual Explanation: Metformin is contraindicated in patients with a GFR below 30
mL/min due to the increased risk of lactic acidosis.
4. Which of the following side effects is most uniquely associated with ACE inhibitors like
Lisinopril?
A. Hyperkalemia
B. Peripheral Edema
C. Bradycardia
D. Dry, hacking cough
, Answer: D
Conceptual Explanation: ACE inhibitors lead to an accumulation of bradykinin, which
causes a persistent dry cough in up to 20% of patients.
5. Using the CURB-65 criteria for community-acquired pneumonia, which score would
generally indicate the need for inpatient hospitalization?
A. 0
B. 1
C. A score is not used for hospitalization decisions
D. 2 or higher
Answer: D
Conceptual Explanation: A CURB-65 score of 2 or higher suggests the need for short-stay
inpatient treatment or intensive outpatient management, while 3+ usually requires
hospitalization.
6. In a patient with Microcytic Anemia and a low Ferritin level, what is the most likely
diagnosis?
A. Iron Deficiency Anemia
B. Thalassemia
C. Vitamin B12 Deficiency
D. Anemia of Chronic Disease
