INTERNAL MEDICINE SHELF EXAM QUESTIONS & ANSWERS 2026-2… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
Internal Medicine Shelf
Exam Questions &
Answers 2026-2027 |
Latest High-Yield
Review
Verified Answers Exam Ready With Rationales
1927 QUESTIONS
DOCUMENT OVERVIEW
This document contains 1927 high-yield internal medicine questions with correct answers
provided, ensuring comprehensive coverage of essential concepts. It serves as a robust
resource for mastering internal medicine topics, directly aligning with exam preparation
and certification requirements. Students can utilize it for effective study, review, and
reinforcement of critical knowledge in the field.
CONTENTS
• Cardiology • Pathophysiology
• Pulmonology • Gastroenterology
• Infectious Diseases • Nephrology
Page 1
,• Endocrinology • Pharmacology
• Neurology • Dermatology
• Clinical Skills • Obstetrics and Gynecology
• Rheumatology • Hematology
• Oncology • Psychiatry
• Emergency Medicine
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 1927
EKG diagnosis of an MI?
CORRECT ANSWER
ST elevation - immediately
T wave inversion - 6 hrs - 1 day
Q wave - lasts forever
Q2 QUESTION 2 OF 1927
ECG leads corresponding to areas of MI?
CORRECT ANSWER
Anterior wall - LAD artery - V1-V4
Lateral wall - circumflex artery - Lead 1, aVL
Inferior wall - RCA - Lead II, III, aVF
Q3 QUESTION 3 OF 1927
Chest pain worse w/ palpitation?
Page 2
, CORRECT ANSWER
Costochondriasis
Q4 QUESTION 4 OF 1927
1st thing to do when you find a pulmonary nodule on Chest X-ray?
Benign vs. malignant nodules?
CORRECT ANSWER
Look at old chest Xray
Benign:
- Pt < 40
- < 3 cm
- Concentric calfication
Malignant:
- Pt > 40
- > 3 cm
- Eccentric calcification
Q5 QUESTION 5 OF 1927
Acute endocarditis causative agent?
Subacute endocarditis (native valve)
IV drug use endocarditis?
CORRECT ANSWER
Staph aureus
Strep Viridans
(Staph aureus) Tricuspid valve --> murmur worse with inspiration
Q6 QUESTION 6 OF 1927
Why do people die of rhabdomyolysis?
What are the CMP changes in rhabdomyolysis?
Page 3
, CORRECT ANSWER
Arrhythmias (Hyperkalemia)
Hyperkalemia
Hyperphosphatemia
Hyperuricemia
Hypocalcemia (phosphate binds calcium and excretes it)
Q7 QUESTION 7 OF 1927
Augmentin
Zosyn
Unasyn
CORRECT ANSWER
Amoxicillin/clavulanic acid
Piperacillin/tazobactam
Ampicillin/Sulbactam
Q8 QUESTION 8 OF 1927
Effect of Hyperthryoidism/Hypothyroidism on CO?
CORRECT ANSWER
Hyperthyroidism increases CO by decreasing SVR
Hypothyroidism decreases CO by increasing SVR
T3 relaxes smooth muscle
Q9 QUESTION 9 OF 1927
Premature atrial complexes are caused by what?
Triggers?
CORRECT ANSWER
Premature activation of the atria originating from a site other than the SA node (early P wave)
TObacco, alcohol, caffeine, stress
Usually asymptomatic
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
Internal Medicine Shelf
Exam Questions &
Answers 2026-2027 |
Latest High-Yield
Review
Verified Answers Exam Ready With Rationales
1927 QUESTIONS
DOCUMENT OVERVIEW
This document contains 1927 high-yield internal medicine questions with correct answers
provided, ensuring comprehensive coverage of essential concepts. It serves as a robust
resource for mastering internal medicine topics, directly aligning with exam preparation
and certification requirements. Students can utilize it for effective study, review, and
reinforcement of critical knowledge in the field.
CONTENTS
• Cardiology • Pathophysiology
• Pulmonology • Gastroenterology
• Infectious Diseases • Nephrology
Page 1
,• Endocrinology • Pharmacology
• Neurology • Dermatology
• Clinical Skills • Obstetrics and Gynecology
• Rheumatology • Hematology
• Oncology • Psychiatry
• Emergency Medicine
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 1927
EKG diagnosis of an MI?
CORRECT ANSWER
ST elevation - immediately
T wave inversion - 6 hrs - 1 day
Q wave - lasts forever
Q2 QUESTION 2 OF 1927
ECG leads corresponding to areas of MI?
CORRECT ANSWER
Anterior wall - LAD artery - V1-V4
Lateral wall - circumflex artery - Lead 1, aVL
Inferior wall - RCA - Lead II, III, aVF
Q3 QUESTION 3 OF 1927
Chest pain worse w/ palpitation?
Page 2
, CORRECT ANSWER
Costochondriasis
Q4 QUESTION 4 OF 1927
1st thing to do when you find a pulmonary nodule on Chest X-ray?
Benign vs. malignant nodules?
CORRECT ANSWER
Look at old chest Xray
Benign:
- Pt < 40
- < 3 cm
- Concentric calfication
Malignant:
- Pt > 40
- > 3 cm
- Eccentric calcification
Q5 QUESTION 5 OF 1927
Acute endocarditis causative agent?
Subacute endocarditis (native valve)
IV drug use endocarditis?
CORRECT ANSWER
Staph aureus
Strep Viridans
(Staph aureus) Tricuspid valve --> murmur worse with inspiration
Q6 QUESTION 6 OF 1927
Why do people die of rhabdomyolysis?
What are the CMP changes in rhabdomyolysis?
Page 3
, CORRECT ANSWER
Arrhythmias (Hyperkalemia)
Hyperkalemia
Hyperphosphatemia
Hyperuricemia
Hypocalcemia (phosphate binds calcium and excretes it)
Q7 QUESTION 7 OF 1927
Augmentin
Zosyn
Unasyn
CORRECT ANSWER
Amoxicillin/clavulanic acid
Piperacillin/tazobactam
Ampicillin/Sulbactam
Q8 QUESTION 8 OF 1927
Effect of Hyperthryoidism/Hypothyroidism on CO?
CORRECT ANSWER
Hyperthyroidism increases CO by decreasing SVR
Hypothyroidism decreases CO by increasing SVR
T3 relaxes smooth muscle
Q9 QUESTION 9 OF 1927
Premature atrial complexes are caused by what?
Triggers?
CORRECT ANSWER
Premature activation of the atria originating from a site other than the SA node (early P wave)
TObacco, alcohol, caffeine, stress
Usually asymptomatic
Page 4
