Edition
NU 636 Quiz 5 | Questions 1–50
1. Which of the following is the most common cause of community-acquired pneumonia?
A. Staphylococcus aureus
B. Haemophilus influenzae
C. Streptococcus pneumoniae
D. Klebsiella pneumoniae
2. A patient with chronic kidney disease presents with fatigue, pallor, and low hemoglobin.
The most likely cause is:
A. Iron deficiency anemia
B. Vitamin B12 deficiency
C. Anemia of chronic disease
D. Hemolytic anemia
3. Which medication is first-line for acute exacerbations of heart failure with reduced ejection
fraction?
A. Calcium channel blockers
B. ACE inhibitors
C. Beta-blockers only
D. Digoxin
4. In diabetic ketoacidosis, which electrolyte imbalance is most concerning initially?
A. Hyperkalemia
B. Hypocalcemia
C. Hyponatremia
D. Hypokalemia
5. A 55-year-old patient presents with sudden-onset chest pain radiating to the left arm.
Which test is most urgent?
A. Chest X-ray
B. ECG
C. Echocardiogram
D. Cardiac stress test
,6. Which of the following vaccines is contraindicated in immunocompromised adults?
A. Influenza inactivated
B. MMR live
C. Pneumococcal
D. Tdap
7. Which lab marker is most sensitive for myocardial injury?
A. CK-MB
B. Troponin I
C. LDH
D. Myoglobin
8. A patient presents with jaundice, dark urine, and fatigue. The most likely cause is:
A. Hemolytic anemia
B. Hepatitis
C. Cirrhosis
D. Cholelithiasis
9. Which is the first-line treatment for acute bacterial sinusitis?
A. Amoxicillin
B. Ciprofloxacin
C. Azithromycin
D. Doxycycline
10. In asthma management, which medication is used for long-term control?
A. Albuterol
B. Montelukast
C. Epinephrine
D. Prednisone (short-term)
11. Which type of heart murmur is heard best at the apex and radiates to the axilla?
A. Aortic stenosis
B. Mitral regurgitation
C. Tricuspid stenosis
D. Pulmonary regurgitation
12. A patient with cirrhosis presents with ascites. The first-line management includes:
A. IV albumin
B. Sodium restriction and diuretics
, C. Liver transplant immediately
D. Beta-blockers
13. In hyperthyroidism, which lab finding is expected?
A. Low T3/T4, high TSH
B. High T3/T4, low TSH
C. High TSH only
D. Low T3/T4, low TSH
14. Which of the following is a hallmark feature of Parkinson’s disease?
A. Spasticity
B. Resting tremor
C. Hyperreflexia
D. Rapid alternating movements intact
15. Which medication is recommended to prevent stroke in patients with atrial fibrillation?
A. Aspirin
B. Warfarin
C. Clopidogrel
D. Heparin only
16. The most common cause of acute pancreatitis is:
A. Alcohol abuse
B. Viral infection
C. Hyperthyroidism
D. Gallbladder stones
17. Which of the following is a typical symptom of hypoglycemia?
A. Polyuria
B. Tremor
C. Weight gain
D. Fatigue
18. Which acid-base disturbance is associated with chronic obstructive pulmonary disease?
A. Respiratory alkalosis
B. Metabolic acidosis
C. Respiratory acidosis
D. Metabolic alkalosis
19. The primary treatment for anaphylaxis includes:
A. Antihistamines