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1. Which class of medication may be used to aid memory and sleep?
A. Histamine-1 receptor antagonists
B. Beta-blockers
C. SSRIs
D. Dopamine agonists
2. A disorder caused by injury to a gene on the X chromosome that leads to
slurred speech, ataxia, and elevated ferritin is:
A. Huntington’s disease
B. Fragile X syndrome
C. Parkinson’s disease
D. Multiple sclerosis
3. Which antibody is typically elevated in Celiac disease?
A. IgM
B. IgG
C. IgA
D. IgE
4. A patient with dry eyes and dry mouth most likely has which condition?
A. Rheumatoid arthritis
B. Sjögren syndrome
C. Systemic lupus erythematosus
D. Multiple sclerosis
,5. Sjögren syndrome is commonly associated with which two autoimmune
diseases?
A. Hypothyroidism and Crohn’s disease
B. Rheumatoid arthritis and lupus
C. Type 1 diabetes and Addison’s disease
D. Psoriasis and ankylosing spondylitis
6. What is the best confirmatory diagnostic test for Sjögren syndrome?
A. ANA test
B. Inner lip biopsy
C. Chest X-ray
D. ESR
7. Which antibody is associated with autoimmune hypothyroidism
(Hashimoto’s)?
A. Anti-dsDNA
B. Anti-Smith
C. Thyroid peroxidase antibody (TPO)
D. Anti-CCP
8. What does the parathyroid hormone primarily regulate?
A. Potassium
B. Calcium
C. Sodium
D. Glucose
9. How is hypoparathyroidism best evaluated?
A. Bone density scan
B. MRI of pituitary
C. ECG
D. Thyroid ultrasound
10. Which lab pattern is consistent with hypothyroidism?
A. High T3, low TSH
B. Low T3, low TSH
,C. High TSH, low T3
D. High TSH, high T3
9. First-line treatment for type 2 diabetes mellitus is:
A. Insulin therapy
B. Metformin
C. Sulfonylureas
D. SGLT2 inhibitors
10. Which of the following lifestyle interventions is essential in managing type 2
diabetes?
A. High protein diet
B. Strict carbohydrate avoidance
C. Glycemic index management
D. Salt restriction only
11. Hypoplastic left heart syndrome is best described as:
A. Enlargement of the right ventricle
B. Underdevelopment of the left ventricle and valves
C. Thickened mitral valve leaflets
D. Increased pulmonary artery pressure
12. Which finding is most consistent with heart failure?
A. Increased cardiac output
B. Decreased cardiac output
C. Increased stroke volume
D. Hyperdynamic circulation
13. What is the first-line pharmacologic treatment for benign prostatic
hyperplasia (BPH)?
A. Finasteride
B. Flomax (tamsulosin)
C. Dutasteride
D. Oxybutynin
, 14. A patient presents post-MVA with absent breath sounds on the right side.
What is the most likely diagnosis?
A. Pleural effusion
B. Pneumothorax
C. Atelectasis
D. Pulmonary embolism
15. Which best describes a pleural effusion?
A. Air in the pleural space
B. Blood in the lung tissue
C. Fluid in the pleural space
D. Collapse of alveoli
16. Treatment for pleural effusion includes:
A. Thoracentesis and diuretics
B. Bronchodilators only
C. High-flow oxygen
D. Corticosteroids only
17. What size induration indicates a positive PPD test in a healthy adult?
A. 5 mm
B. 8 mm
C. 10 mm
D. 15 mm
18. Which lab test confirms TB infection after a positive PPD?
A. CBC
B. ESR
C. IGRA blood test
D. Chest ultrasound
19. Which TB medication reduces the effectiveness of oral contraceptives?
A. Isoniazid
B. Rifampicin