Test Bank Questions & Detailed Answers
(A+ Guide Solution, )
Question 1
What is the most common cause of community-acquired pneumonia in adults?
Answer: Streptococcus pneumoniae
Rationale: S. pneumoniae is the leading bacterial cause of community-acquired pneumonia.
Question 2
What is the first-line antibiotic for uncomplicated community-acquired pneumonia?
Answer: Azithromycin
Rationale: Macrolides like azithromycin are preferred for their coverage and once-daily dosing.
Question 3
What physical exam finding is consistent with pneumonia?
Answer: Crackles on lung auscultation
Rationale: Crackles indicate fluid or infection in the alveoli.
Question 4
What is the gold standard for diagnosing pulmonary embolism?
Answer: CT pulmonary angiography
Rationale: CTPA is highly sensitive and specific for detecting pulmonary emboli.
Question 5
What is a classic symptom of pulmonary embolism?
Answer: Sudden-onset dyspnea
Rationale: Acute shortness of breath is a hallmark of pulmonary embolism.
,Question 6
What is the initial treatment for a patient with a suspected pulmonary embolism?
Answer: Heparin
Rationale: Heparin prevents further clot formation while diagnostics are completed.
Question 7
What is the most common ECG finding in atrial fibrillation?
Answer: Irregularly irregular rhythm
Rationale: Atrial fibrillation lacks organized atrial activity, causing an irregular ventricular
response.
Question 8
What is the first-line medication for rate control in atrial fibrillation?
Answer: Metoprolol
Rationale: Beta-blockers like metoprolol effectively control heart rate.
Question 9
What is a common risk factor for atrial fibrillation?
Answer: Hypertension
Rationale: Chronic hypertension increases atrial strain, predisposing to arrhythmias.
Question 10
What is the diagnostic test for suspected hypothyroidism?
Answer: TSH level
Rationale: Elevated TSH indicates primary hypothyroidism.
Question 11
What is the first-line treatment for hypothyroidism?
Answer: Levothyroxine
Rationale: Levothyroxine replaces thyroid hormone in hypothyroidism.
Question 12
What is a common symptom of hypothyroidism?
, Answer: Fatigue
Rationale: Hypothyroidism slows metabolism, causing fatigue and lethargy.
Question 13
What is the diagnostic test for hyperthyroidism?
Answer: TSH and free T4 levels
Rationale: Low TSH with elevated free T4 confirms hyperthyroidism.
Question 14
What is the first-line treatment for hyperthyroidism?
Answer: Methimazole
Rationale: Methimazole inhibits thyroid hormone synthesis.
Question 15
What is a common symptom of hyperthyroidism?
Answer: Weight loss
Rationale: Increased metabolism in hyperthyroidism leads to unintentional weight loss.
Question 16
What is the first-line treatment for type 2 diabetes?
Answer: Metformin
Rationale: Metformin improves insulin sensitivity and reduces hepatic glucose production.
Question 17
What is a common side effect of metformin?
Answer: Gastrointestinal upset
Rationale: Nausea and diarrhea are common, especially at initiation.
Question 18
What lab test monitors glycemic control in diabetes?
Answer: Hemoglobin A1c
Rationale: A1c reflects average blood glucose over 2–3 months.