SARAH MICHELLE LIVE REVIEW AND
STUDY GUIDE NEWEST 2025/2026 TEST
BANK| COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
(BRAND NEW VERSION!!)
1. A 45-year-old woman presents with fatigue, weight gain, and cold
intolerance. Which lab test is most appropriate to screen for
hypothyroidism?
A. TSH
B. Free T4
C. Total T3
D. Anti-thyroid antibodies
Answer: A
Rationale: TSH is the most sensitive initial test for hypothyroidism. If
abnormal, Free T4 can confirm severity.
2. Which of the following vaccines is recommended annually for all
adults?
A. Influenza
B. MMR
,C. Varicella
D. Tdap
Answer: A
Rationale: The influenza vaccine is recommended every year for adults to
prevent seasonal flu.
3. A 30-year-old woman presents with dysuria and frequency.
Urinalysis shows positive nitrites and leukocyte esterase. What is the
most likely diagnosis?
A. Uncomplicated urinary tract infection
B. Pyelonephritis
C. Interstitial cystitis
D. Nephrolithiasis
Answer: A
Rationale: Positive nitrites and leukocyte esterase suggest bacterial UTI.
Pyelonephritis usually presents with fever and flank pain.
4. Which medication is first-line for newly diagnosed hypertension in
an African American adult with no comorbidities?
A. Thiazide diuretic
B. ACE inhibitor
C. Beta-blocker
D. ARB
Answer: A
Rationale: Guidelines recommend thiazide diuretics or calcium channel
,blockers as first-line for African American patients without CKD or
diabetes.
5. Which clinical feature is most suggestive of bacterial pneumonia in
an adult?
A. Fever, productive cough, and localized crackles
B. Chronic dry cough without fever
C. Wheezing without fever
D. Sore throat and rhinorrhea
Answer: A
Rationale: Bacterial pneumonia often presents with acute onset fever,
productive cough, and focal lung findings on auscultation.
6. A 55-year-old man presents with crushing chest pain radiating to the
left arm and jaw. ECG shows ST-elevation in leads II, III, aVF. Which
artery is likely involved?
A. Right coronary artery
B. Left anterior descending artery
C. Circumflex artery
D. Left main coronary artery
Answer: A
Rationale: Inferior wall MI (leads II, III, aVF) typically involves the right
coronary artery.
7. Which screening test is recommended for colon cancer in average-
risk adults starting at age 45?
, A. Colonoscopy
B. CEA tumor marker
C. Abdominal ultrasound
D. CT scan
Answer: A
Rationale: Colonoscopy every 10 years (or other stool-based tests) is
recommended starting at age 45 for average-risk adults.
8. Which antihypertensive is contraindicated in pregnancy?
A. ACE inhibitors
B. Labetalol
C. Methyldopa
D. Nifedipine
Answer: A
Rationale: ACE inhibitors and ARBs are teratogenic and should be
avoided in pregnancy.
9. A 25-year-old woman presents with irregular menses and hirsutism.
Labs reveal elevated total testosterone. What is the most likely
diagnosis?
A. Polycystic ovary syndrome (PCOS)
B. Hypothyroidism
C. Hyperprolactinemia
D. Adrenal insufficiency
Answer: A
Rationale: PCOS commonly presents with hyperandrogenism and
STUDY GUIDE NEWEST 2025/2026 TEST
BANK| COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
(BRAND NEW VERSION!!)
1. A 45-year-old woman presents with fatigue, weight gain, and cold
intolerance. Which lab test is most appropriate to screen for
hypothyroidism?
A. TSH
B. Free T4
C. Total T3
D. Anti-thyroid antibodies
Answer: A
Rationale: TSH is the most sensitive initial test for hypothyroidism. If
abnormal, Free T4 can confirm severity.
2. Which of the following vaccines is recommended annually for all
adults?
A. Influenza
B. MMR
,C. Varicella
D. Tdap
Answer: A
Rationale: The influenza vaccine is recommended every year for adults to
prevent seasonal flu.
3. A 30-year-old woman presents with dysuria and frequency.
Urinalysis shows positive nitrites and leukocyte esterase. What is the
most likely diagnosis?
A. Uncomplicated urinary tract infection
B. Pyelonephritis
C. Interstitial cystitis
D. Nephrolithiasis
Answer: A
Rationale: Positive nitrites and leukocyte esterase suggest bacterial UTI.
Pyelonephritis usually presents with fever and flank pain.
4. Which medication is first-line for newly diagnosed hypertension in
an African American adult with no comorbidities?
A. Thiazide diuretic
B. ACE inhibitor
C. Beta-blocker
D. ARB
Answer: A
Rationale: Guidelines recommend thiazide diuretics or calcium channel
,blockers as first-line for African American patients without CKD or
diabetes.
5. Which clinical feature is most suggestive of bacterial pneumonia in
an adult?
A. Fever, productive cough, and localized crackles
B. Chronic dry cough without fever
C. Wheezing without fever
D. Sore throat and rhinorrhea
Answer: A
Rationale: Bacterial pneumonia often presents with acute onset fever,
productive cough, and focal lung findings on auscultation.
6. A 55-year-old man presents with crushing chest pain radiating to the
left arm and jaw. ECG shows ST-elevation in leads II, III, aVF. Which
artery is likely involved?
A. Right coronary artery
B. Left anterior descending artery
C. Circumflex artery
D. Left main coronary artery
Answer: A
Rationale: Inferior wall MI (leads II, III, aVF) typically involves the right
coronary artery.
7. Which screening test is recommended for colon cancer in average-
risk adults starting at age 45?
, A. Colonoscopy
B. CEA tumor marker
C. Abdominal ultrasound
D. CT scan
Answer: A
Rationale: Colonoscopy every 10 years (or other stool-based tests) is
recommended starting at age 45 for average-risk adults.
8. Which antihypertensive is contraindicated in pregnancy?
A. ACE inhibitors
B. Labetalol
C. Methyldopa
D. Nifedipine
Answer: A
Rationale: ACE inhibitors and ARBs are teratogenic and should be
avoided in pregnancy.
9. A 25-year-old woman presents with irregular menses and hirsutism.
Labs reveal elevated total testosterone. What is the most likely
diagnosis?
A. Polycystic ovary syndrome (PCOS)
B. Hypothyroidism
C. Hyperprolactinemia
D. Adrenal insufficiency
Answer: A
Rationale: PCOS commonly presents with hyperandrogenism and
