PAPER 2026 FULL SOLUTION GRADED A+
● Which physical exam finding suggests aortic regurgitation? Answer:
Diastolic blowing murmur
● What is the next step for a patient with new-onset atrial fibrillation
who is hemodynamically unstable? Answer: Synchronized cardioversion
● Which condition causes a widened pulse pressure? Answer: Aortic
regurgitation
● What condition is suggested by chest pain relieved by leaning
forward? Answer: Pericarditis
● What is the first-line medication for rate control in atrial fibrillation?
Answer: Beta blocker
● What is the management for a patient on warfarin with an INR of 6.0
without bleeding? Answer: Hold warfarin
● What does electrical alternans on EKG suggest? Answer: Cardiac
tamponade
, ● What is the diagnosis for a patient with BP 190/120 and headache but
no end-organ damage? Answer: Hypertensive urgency
● What is the most common cause of secondary hypertension? Answer:
Renal artery stenosis
● Which murmur is louder with Valsalva maneuver? Answer: HOCM
● What is the first-line drug to reduce mortality post-MI? Answer: ACE
inhibitor
● What does jugular venous distention with hypotension suggest?
Answer: Cardiac tamponade
● What is a patient with syncope and long QT at risk for? Answer:
Torsades de pointes
● What is the first-line therapy for Prinzmetal angina? Answer: Calcium
channel blockers
● What do hyperinflated lungs on CXR suggest? Answer: COPD