Aquifer IM Exam Questions and Correct Answers 100% Verified

Aquifer IM Exam Questions and Correct
Answers 100% Verified
Question 1
Patient with PMH of osteoarthritis and unprotected sex presents with warm knee pain:
top 4 diagnoses
Correct Answer
gout, pseudogout, osteoarthritis flare, septic arthritis



Question 2
Which pulmonary physical exam findings are consistent with pleural effusion? (3)
Correct Answer
decreased vocal and tactile fremitus, dullness to percussion, decreased breath
sounds



Question 3
Management of COPD exacerbation (7)

Correct Answer
Ambulation as tolerated, antibiotics, bronchodilators (ipratropium bromide,
albulterol), DVT prophylaxis, glucocorticoids, BIPAP, oxygen therapy with goal sat of
90-94%



Question 4
What is the standard management of ascites in a cirrhotic patient? (3)
Correct Answer
2 gram per day sodium restriction, spironolactone, addition of loop diuretic




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,Question 5
How to evaluate suspected angina? (4)
Correct Answer
BMP, CBC, fasting lipid panel, TSH



Question 6
What are adequate screening strategies for colorectal cancer? (3)
Correct Answer
annual hemoccult card testing; colonoscopy q10 years; FOBT or FIT test q3 years
plus flex sig q5 years



Question 7
Top 2 differential of fever, chills, hemoptysis, and unilateral pulmonary effusion
Correct Answer
TB, lung malignancy



Question 8
What is in the workup of CKD?
Correct Answer
CBC, EKG, fasting lipid panel, iron studies, PTH levels, renal US, spot urine for
albumin/creatinine



Question 9
What are recommended pelvic exam tests in the setting of suspected STIs? (4)
Correct Answer
microscopic exam of slide with vaginal discharge and normal saline; microscope
exam of slide with vaginal discharge and KOH; NAAT testing for chlamydia and
gonorrhea; smelling a slide with vaginal discharge and KOH




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,Question 10
What drugs can cause fever? (4)
Correct Answer
phenytoin, sulfonamide, MDMA, antihistamines



Question 11
Most likely diagnoses for chest pain? (5)
Correct Answer
GERD, muscular strain, NSTEMI, PE, unstable angina



Question 12
What tests to get on initial evaluation of HTN? In addition to EKG, electrolytes (4)
Correct Answer
diabetes screening, fasting lipid panel, hematocrit, TSH, urinalysis



Question 13
What are 2 appropriate choices for DVT prophylaxis?
Correct Answer
enoxaparin 40mg subq daily, heparin 5,000 units subq q8h



Question 14
What are the top 3 most common inflammatory causes of FUO?
Correct Answer
adult still disease, SLE, temporal arteritis



Question 15
What is the most specific physical exam finding for diagnosing peritonitis?
Correct Answer
rigidity




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, Question 16
When do we put patients on airborne isolation? (3)
Correct Answer
TB, varicella, and measles



Question 17
What are some indications for chest tube placement in patient with pneumothorax?
Correct Answer
patient on mechanical ventilation, tension pneumonthorax after needle
decompression, pneumothorax secondary to chest trauma, hemopneumothorax,
esphoageal rupture with gastric leak into pleural space



Question 18
If an HIV pt has CD of 9, what do they need prophylaxis against?
Correct Answer
PJP, toxoplasmosis, MAC



Question 19
What organisms are most likely to account for UTI-associated sepsis? (4)
Correct Answer
e coli, klebsiella, proteus, enterococcus



Question 20
Top 4 diagnoses for vomiting, photophobia, and headache without localizing neuro
deficits
Correct Answer
bacterial meningitis, migraine, subarachnoid hemorrhage, viral meningitis




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