AND CORRECT ANSWER WITH DETAILED EXPLANATION
GRADED A+ STUDY GUIDE FOR OSTEOPATHIC MEDICAL
STUDENT
1.
A 58-year-old with crushing chest pain and ST elevation should receive:
A. Immediate PCI
B. Antibiotics
C. Observation
D. Antacids
Answer: A
Rationale: STEMI requires urgent reperfusion.
2.
Sudden facial droop, arm weakness, and speech difficulty suggests:
A. Ischemic stroke
B. Migraine
C. Seizure
D. Hypoglycemia
Answer: A
Rationale: FAST symptoms indicate stroke.
3.
Best initial imaging for acute stroke:
A. Non-contrast CT head
B. MRI spine
C. Chest X-ray
D. Ultrasound
Answer: A
Rationale: Rules out hemorrhage first.
,4.
A patient with fever, hypotension, and high lactate has:
A. Septic shock
B. Migraine
C. Asthma
D. GERD
Answer: A
Rationale: Infection with organ hypoperfusion.
5.
Most common cause of myocardial infarction:
A. Atherosclerosis
B. Infection
C. Trauma
D. Vasculitis
Answer: A
Rationale: Plaque rupture and thrombosis.
6.
Sudden severe “worst headache”:
A. Subarachnoid hemorrhage
B. Tension headache
C. Migraine
D. Sinusitis
Answer: A
Rationale: Aneurysm rupture.
7.
Cardiac arrest first action:
A. Start CPR
B. CT scan
C. ECG
, D. Antibiotics
Answer: A
Rationale: Immediate chest compressions.
8.
Peaked T waves indicate:
A. Hyperkalemia
B. Hypokalemia
C. Hyponatremia
D. Hypocalcemia
Answer: A
Rationale: Early ECG change.
9.
DKA treatment includes:
A. IV insulin + fluids
B. Oral antibiotics
C. Steroids
D. Diuretics
Answer: A
Rationale: Corrects ketosis and dehydration.
10.
Most common cause of peptic ulcer:
A. H. pylori
B. Stress
C. Virus
D. Cancer
Answer: A
Rationale: Bacterial mucosal damage.
11.