AQUIFER IM EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
What is the most common form of arthritis? - ANSWERS-Osteoarthritis
Top 4 differential of joint pain with fatigue, chronic inflammatory
polyarticular arthritis, photosensitive rash, oral ulcers - ANSWERS-RA,
Sjogren syndrome, SLE, systemic sclerosis
What tests for evaluation of SLE? (9) - ANSWERS-All: ANA, anti
double-stranded DNA, anti-CCP, C3/C4 levvels, CBC, ESR, RF, serum
creatinine, urinalysis
Which drugs induce renal dysfunction through vasoconstriction and
subsequent impaired renal perfusion? (4) - ANSWERS-cyclosporine,
iodinated IV radiocontrast for imaging studies, NSAIDS, tacrolimus
(NOT ACEs)
What drugs have potential for nephrotoxicity? (4) - ANSWERS-aspirin,
atorvastatin, hydrocholorthiazide, valsartan (NOT metformin)
What are key physical exam findings for acute kidney injury (8) -
ANSWERS-absence of palpable bladder, absence of fever, absence of
END OF
PAGE
1
, AQUIFER IM EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
volume overload, AMS, dry mucous membranes, relative hypotension
with orthostatic vital signs, skin tending
When evaluating a patient with hematuria, the presence of what finding
on dipstick suggests a glomerular cause? - ANSWERS-Protein
What are indications for dialysis? - ANSWERS-acidemia, electrolytes
(hyperkalemia), ingestion, overload (volume), and uremia
What is "acute" duration of back pain? - ANSWERS-Less than 6 weeks
What is "subacute" duration of back pain? - ANSWERS-6-12 weeks
What is "chronic" duration of back pain? - ANSWERS-> 12 weeks
Top 5 differential for back with with hx of prostate cancer, cystitis, and
aortic aneurysm - ANSWERS-vertebral metastases, vertebral or epidural
infection, acute mechanical back pain, spinal stenosis, herniated disk
END OF
PAGE
2
, AQUIFER IM EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
What are focused physical exam maneuvers for low back pain? -
ANSWERS-supine straight leg raise, seated straight leg raise, crossed
straight leg test, hyperextension of spine
Treatment options for acute mechanical back pain - ANSWERS-
NSAIDs, spinal manipulation, self-application of heat to painful area of
back spasm, acupuncture, and pain is likely to resolve in a month
regardless of what he does
What recommendation to prevent recurrent back pain? - ANSWERS-
fitness program
What drugs can cause fever? (4) - ANSWERS-phenytoin, sulfonamide,
MDMA, antihistamines
What diseases can cause fever in returning travelers? - ANSWERS-All;
malaria, dengue fever, mononucleosis, rickettsia, typhoid fever, viral
hepatitis, chikunguyna, trypanosomiasis
END OF
PAGE
3
, AQUIFER IM EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
Top 6 differential of fever and fatigue with rash - ANSWERS-acute HIV
infection, acute viral hepatitis, endocarditis, hogkin disease, adult still
disease, SLE
What are the 3 most common causes of fever of unknown origin? -
ANSWERS-occult abscess, TB, endocarditis
What are the most common malignant causes of FUO? - ANSWERS-
non-hodgkin lymphoma, hodgkin lymphoma
What are the top 3 most common inflammatory causes of FUO? -
ANSWERS-adult still disease, SLE, temporal arteritis
Propanolol is used for the management of which complication of liver
disease? - ANSWERS-Gastroesophageal varices
Top 3 differential of fever, abdominal pain, and hepatic encephalopathy
in setting of cirrhosis - ANSWERS-alcoholic hepatitis, ascending
cholangitis, SBP
END OF
PAGE
4
QUESTIONS AND
ANSWERS 2026 - 2027
What is the most common form of arthritis? - ANSWERS-Osteoarthritis
Top 4 differential of joint pain with fatigue, chronic inflammatory
polyarticular arthritis, photosensitive rash, oral ulcers - ANSWERS-RA,
Sjogren syndrome, SLE, systemic sclerosis
What tests for evaluation of SLE? (9) - ANSWERS-All: ANA, anti
double-stranded DNA, anti-CCP, C3/C4 levvels, CBC, ESR, RF, serum
creatinine, urinalysis
Which drugs induce renal dysfunction through vasoconstriction and
subsequent impaired renal perfusion? (4) - ANSWERS-cyclosporine,
iodinated IV radiocontrast for imaging studies, NSAIDS, tacrolimus
(NOT ACEs)
What drugs have potential for nephrotoxicity? (4) - ANSWERS-aspirin,
atorvastatin, hydrocholorthiazide, valsartan (NOT metformin)
What are key physical exam findings for acute kidney injury (8) -
ANSWERS-absence of palpable bladder, absence of fever, absence of
END OF
PAGE
1
, AQUIFER IM EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
volume overload, AMS, dry mucous membranes, relative hypotension
with orthostatic vital signs, skin tending
When evaluating a patient with hematuria, the presence of what finding
on dipstick suggests a glomerular cause? - ANSWERS-Protein
What are indications for dialysis? - ANSWERS-acidemia, electrolytes
(hyperkalemia), ingestion, overload (volume), and uremia
What is "acute" duration of back pain? - ANSWERS-Less than 6 weeks
What is "subacute" duration of back pain? - ANSWERS-6-12 weeks
What is "chronic" duration of back pain? - ANSWERS-> 12 weeks
Top 5 differential for back with with hx of prostate cancer, cystitis, and
aortic aneurysm - ANSWERS-vertebral metastases, vertebral or epidural
infection, acute mechanical back pain, spinal stenosis, herniated disk
END OF
PAGE
2
, AQUIFER IM EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
What are focused physical exam maneuvers for low back pain? -
ANSWERS-supine straight leg raise, seated straight leg raise, crossed
straight leg test, hyperextension of spine
Treatment options for acute mechanical back pain - ANSWERS-
NSAIDs, spinal manipulation, self-application of heat to painful area of
back spasm, acupuncture, and pain is likely to resolve in a month
regardless of what he does
What recommendation to prevent recurrent back pain? - ANSWERS-
fitness program
What drugs can cause fever? (4) - ANSWERS-phenytoin, sulfonamide,
MDMA, antihistamines
What diseases can cause fever in returning travelers? - ANSWERS-All;
malaria, dengue fever, mononucleosis, rickettsia, typhoid fever, viral
hepatitis, chikunguyna, trypanosomiasis
END OF
PAGE
3
, AQUIFER IM EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
Top 6 differential of fever and fatigue with rash - ANSWERS-acute HIV
infection, acute viral hepatitis, endocarditis, hogkin disease, adult still
disease, SLE
What are the 3 most common causes of fever of unknown origin? -
ANSWERS-occult abscess, TB, endocarditis
What are the most common malignant causes of FUO? - ANSWERS-
non-hodgkin lymphoma, hodgkin lymphoma
What are the top 3 most common inflammatory causes of FUO? -
ANSWERS-adult still disease, SLE, temporal arteritis
Propanolol is used for the management of which complication of liver
disease? - ANSWERS-Gastroesophageal varices
Top 3 differential of fever, abdominal pain, and hepatic encephalopathy
in setting of cirrhosis - ANSWERS-alcoholic hepatitis, ascending
cholangitis, SBP
END OF
PAGE
4
