QUESTIONS 2026-2027 COMPLETE ACCURATE EXAM
REAL QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (RELIABLE SOLUTIONS) CURRENTLY
UPDATED VERSION 2026 EDITION
Prophylactic meds for migraines?
Beta-blockers (Propranolol)
CCBs (Verapamil)
TCAs (Amitriptyline)
Anticonvulsants (valproic acid or Topiramate)
Sumatriptan (Imitrex) is a suitable med for migraine treatment or
prophylaxis?
Treatment
(c/i in pts w/ coronary/peripheral
vascular dz; Propranolol is a good 1st-line prophylactic med)
T/F: All pts age 40 & older w/ DM should receive statin therapy?
True
H/o peptic ulcer dz w/ post-shower pruritus, burning in hands/feet,
hepato/splenomegaly, elevated Hb/Hct/RBC think.....
Polycythemia vera
,"Marked disorientation, confusion, and fluctuating consciousness" is
called.....
Delirium
MC type of delusion?
Persecutory
Abx of choice for uncomplicated UTI?
Macrobid (nitrofurantoin) or
Bactrim (trimethoprim-sulfamethoxazole)
x 3-5 days
MC organism a/w UTI?
E. coli
Recommended daily supplement for women of child-bearing age?
Folic acid 0.4-0.8 mg
(4 mg w/ h/o neural tube defects)
First-choice for mild-moderate HTN in pregnancy?
Methyldopa
Wrist drop w/ inability to extend wrist against resistance think.....
Radial nerve (Sat night) palsy
,MC joint affected by pseudogout (calcium pyrophosphate dihydrate
crystals)?
Knee
(tx = NSAIDs +/- aspiration)
Peaked T wave and dropped P wave think.....
Hyperkalemia
(tx = calcium supplementation)
Ex H2 blocker meds?
famotidine (Pepcid)
ranitidine (Zantac)
Ex PPI meds?
omeprazole (Prilosec)
pantoprazole (Protonix)
esomeprazole (Nexium)
lansoprazole (Prevacid)
Biliary colic is worse after what type of meal?
Fatty
(d/t CCK-mediated contraction of gallbladder -> bile salt release)
MCC esophagitis?
GERD
(tx = H2 blockers -tidines PRN or PPIs -prazoles if mod/severe)
, DOC in moderate-severe GERD?
PPIs
(omeprazole, pantoprazole, etc.)
MCC esophageal varices in adults?
Cirrhosis
DOC for acute esophageal varice bleed?
Octreotride
(somatostatin analog -> vasoconstriction of portal venous flow)
"Erroneous beliefs that usually involve a misinterpretation of perceptions or
experiences" are called.....
Delusions