AQUIFER IM EXAM 2026/2027 WITH 185
QUESTIONS AND EXPERT-VERIFIED
CORRECT ANSWERS | ALREADY
GRADED A+ | GUARANTEED PASS |
AQUIFER IM PRACTICE EXAM
What are meds for systolic heart failure shown to decrease mortality?(6) -
ANSWER-ACE inhibitors, aldosterone blockers, ARBs, beta blockers, hydralazine
and nitrates, sacubitril & valsartan
What are the two most likely causes of heart failure? - ANSWER-CAD and HTN
What to look for on HTN PE? (6) - ANSWER-displaced PMI, discrepant BP b/w
arms & legs, pulsatile abdominal mass, renal artery bruit, retinopathy, thyromegaly
What tests to get on initial evaluation of HTN? In addition to EKG, electrolytes (4)
- ANSWER-diabetes screening, fasting lipid panel, hematocrit, TSH, urinalysis
When to follow up on BP that is 125/76? - ANSWER-six months
,What are potential side effects of lisinopril? (6) - ANSWER-angioedema, cough,
fatigue, hyperkalemia, hypotension, worsening renal insufficiency
What is the goal BP for hypertensive urgency? - ANSWER-180/90
What is on the differential of hypotension, polyuria, nausea, vomiting, diarrhea?
(5) - ANSWER-acute hyperglycemia, adrenal insufficiency, gastroenteritis,
pregnancy, urosepsis
What is a classic sign of hyperglycemia in DKA? - ANSWER-Kussumal breathing
What is the first step in management of HHS? - ANSWER-normal saline
In a patient with DKA, when is it safe to start the insulin drip? - ANSWER-After
the patient has had a dose of long-acting insulin; has had two successive panels
showing an anion gap; when the patient can take food PO
What tests should be checked in a patient with newly diagnosed T2DM? -
ANSWER-fasting lipid panel, A1C, urine albumin/creatinine ratio
T/F in critically ill medical patients, tight blood sugar control is associated with
lower mortality - ANSWER-False!
Which diabetes med is most likely to reduce risk of heart failure or future
cardiovascular event? - ANSWER-SGLT2 inhibitor
Can patients accurately detect hypoglycemia by symptoms alone? - ANSWER-No
, What are the neuropathies a diabetic patient might develop? (5) - ANSWER-distal
symmetric polyneuropathy, ED, gastroparesis, postural hypotension, resting
tachycardia
What is the optimal BP goal for diabetics? - ANSWER-less than 140/90
What are recommendations for prevention of diabetic retinopathy progression? (4)
- ANSWER-optimal BP control, glucose control, LDL control, smoking cessation
What key findings from the history can help make a differential for abdominal pain
and vomitting? (6) - ANSWER-constant and severe pain, hx of peptic ulcer, hx of
prior abdominal sx, hx of unhealthy alcohol use, nausea w/ repeated vomitting,
pain worse with movement
What tests to order for alcoholic with abdominal pain? (6) - ANSWER-BMP,
CBC, fecal occult blood, lipase, liver tests, serum lactate
What is the best initial imaging for acute pancreatitis? - ANSWER-RUQ
ultrasound
Which abdominal diagnoses prompt of sx consultation? (2) - ANSWER-
cholecystitis, small bowel obstruction
What are most likely diagnoses for melena? (3) - ANSWER-gastritis, peptic ulcer
disease due to h. pylori, peptic ulcer disease due to NSAID use
QUESTIONS AND EXPERT-VERIFIED
CORRECT ANSWERS | ALREADY
GRADED A+ | GUARANTEED PASS |
AQUIFER IM PRACTICE EXAM
What are meds for systolic heart failure shown to decrease mortality?(6) -
ANSWER-ACE inhibitors, aldosterone blockers, ARBs, beta blockers, hydralazine
and nitrates, sacubitril & valsartan
What are the two most likely causes of heart failure? - ANSWER-CAD and HTN
What to look for on HTN PE? (6) - ANSWER-displaced PMI, discrepant BP b/w
arms & legs, pulsatile abdominal mass, renal artery bruit, retinopathy, thyromegaly
What tests to get on initial evaluation of HTN? In addition to EKG, electrolytes (4)
- ANSWER-diabetes screening, fasting lipid panel, hematocrit, TSH, urinalysis
When to follow up on BP that is 125/76? - ANSWER-six months
,What are potential side effects of lisinopril? (6) - ANSWER-angioedema, cough,
fatigue, hyperkalemia, hypotension, worsening renal insufficiency
What is the goal BP for hypertensive urgency? - ANSWER-180/90
What is on the differential of hypotension, polyuria, nausea, vomiting, diarrhea?
(5) - ANSWER-acute hyperglycemia, adrenal insufficiency, gastroenteritis,
pregnancy, urosepsis
What is a classic sign of hyperglycemia in DKA? - ANSWER-Kussumal breathing
What is the first step in management of HHS? - ANSWER-normal saline
In a patient with DKA, when is it safe to start the insulin drip? - ANSWER-After
the patient has had a dose of long-acting insulin; has had two successive panels
showing an anion gap; when the patient can take food PO
What tests should be checked in a patient with newly diagnosed T2DM? -
ANSWER-fasting lipid panel, A1C, urine albumin/creatinine ratio
T/F in critically ill medical patients, tight blood sugar control is associated with
lower mortality - ANSWER-False!
Which diabetes med is most likely to reduce risk of heart failure or future
cardiovascular event? - ANSWER-SGLT2 inhibitor
Can patients accurately detect hypoglycemia by symptoms alone? - ANSWER-No
, What are the neuropathies a diabetic patient might develop? (5) - ANSWER-distal
symmetric polyneuropathy, ED, gastroparesis, postural hypotension, resting
tachycardia
What is the optimal BP goal for diabetics? - ANSWER-less than 140/90
What are recommendations for prevention of diabetic retinopathy progression? (4)
- ANSWER-optimal BP control, glucose control, LDL control, smoking cessation
What key findings from the history can help make a differential for abdominal pain
and vomitting? (6) - ANSWER-constant and severe pain, hx of peptic ulcer, hx of
prior abdominal sx, hx of unhealthy alcohol use, nausea w/ repeated vomitting,
pain worse with movement
What tests to order for alcoholic with abdominal pain? (6) - ANSWER-BMP,
CBC, fecal occult blood, lipase, liver tests, serum lactate
What is the best initial imaging for acute pancreatitis? - ANSWER-RUQ
ultrasound
Which abdominal diagnoses prompt of sx consultation? (2) - ANSWER-
cholecystitis, small bowel obstruction
What are most likely diagnoses for melena? (3) - ANSWER-gastritis, peptic ulcer
disease due to h. pylori, peptic ulcer disease due to NSAID use
