GCUl APEAl 3Pl Examl (Latestl 2026/l 2027l
Update)l Review|100%l Verifiedl Questionsl
&l Answersl |l Gradel A
Q:l Al 35-year-oldl femalel isl skiingl fastl downl al steepl trail.l Shel fallsl forwardl andl
landsl onl anl abductedl andl extendedl arm.l Shel immediatelyl feelsl al pop,l hasl exquisitel
painl overl herl rightl upperl shoulder,l andl hasl nol sensationl inl herl rightl hand.l Herl
diagnosisl isl mostl likely:
Answer:
Anteriorl dislocationl ofl thel glenohumerall joint.
Q:l Thel NPl isl evaluatingl al patientl withl markedlyl elevatedl bloodl pressurel thatl isl
unresponsivel tol traditionall medications.l Therel isl somel mildl pedall edema,l butl otherl thanl
thel elevatedl BP,l thel physicall examl isl essentiallyl normal.l Al metabolicl panell revealsl thel
following:
Na+l 151l mEq/LK+l 3.0l mEq/LCl-l 114l mEq/LCO2l 28l mEq/LBUNl 10l mg/dLCreatininel
0.9l mg/dL
Thel NPl considersl whichl ofl thel followingl asl al secondaryl causel ofl hypertensionl inl thisl
patient?
Answer:
Hyperaldosteronism
Q:l Whichl ofl thel followingl statinsl isl preferredl forl al 67-year-oldl manl withl
hypercholesterolemial whol drinksl al glassl ofl grapefruitl juicel everyl morning?
Answer:
Pravastatin
Q:l Al 41-year-oldl femalel isl beingl managedl byl herl mentall healthl providerl withl
lithium.l Shel presentsl forl al primaryl carel wellnessl examl andl hasl nol complaints,l butl
,routinel laboratoryl assessmentl revealsl al TSHl ofl 4.5l iU/L.l Whatl isl thel mostl appropriatel
approachl forl thisl patient?
Answer:
Beginl thyroidl replacementl therapy
Q:l Al 42-year-oldl manl wasl recentlyl evaluatedl forl progressivel fatigue.l Hisl diagnosticl
evaluationl includedl al comprehensivel laboratoryl assessmentl whichl showedl al HgbA1cl ofl
8.4%l andl al urinalysisl withl 4+l glucose.l Whichl ofl thel followingl laboratoryl assessmentsl
isl consistentl withl thel presumedl diagnosis?
Answer:
C-peptidel ofl 9l ng/dL
Q:l Whichl pathophysiologicl featurel dol multiplel sclerosisl andl Guillain-Barrel syndromel
share?
Answer:
Immune-mediatedl demyelination
Q:l Al 41-year-oldl womanl presentsl withl chronicl diarrhea.l Shel saysl shel hasl hadl
problemsl withl herl bowelsl forl asl longl asl shel canl remember,l butl itl isl gettingl worse;l
morel oftenl shel hasl thel urgel tol havel al bowell movementl andl doesl notl havel timel tol
getl tol thel bathroom.l Tol pursuel al diagnosisl ofl irritablel bowell syndrome,l whichl findingl
inl thel HPIl isl mostl likelyl presentl inl thisl patient?
Answer:
Intermittentl constipation
Q:l Al 42-year-oldl womanl presentsl withl al 12-hourl historyl ofl progressivelyl worseningl
lowerl abdominall pain,l nausea,l andl fever.l Suspectingl acutel appendicitis,l thel NPl testsl forl
thel Rovsing'sl sign,l whichl isl bestl describedl as:
Answer:
, Painl inl thel rightl lowerl quadrantl duringl left-sidedl palpation.
Q:l Al 61-year-oldl manl presentsl withl complaintsl ofl backl pain,l numbness,l andl
weaknessl onl thel rightl legl alongl withl painl whenl standingl orl walking.l Thel painl hasl
progressivelyl worsenedl overl thel pastl 8l monthsl andl affectsl hisl gait.l Painl isl diminishedl
whenl bendingl forward.l Thel mostl likelyl diagnosisl is:
Answer:
Spinall stenosis.
Q:l Alll ofl thel followingl antimicrobialsl wouldl bel expectedl tol exhibitl inl vitrol activityl
againstl betal lactamasel producingl Moraxellal catarrhalisl except:
Answer:
Amoxicillin
Q:l Al 51-year-oldl womanl isl beingl seenl forl menopausall symptoms.l Shel isl havingl
vasomotorl flushingl dailyl andl itl isl beginningl tol interferel withl herl job.l Shel wakesl upl
almostl everyl nightl andl neverl reallyl feelsl welll rested.l Therel isl nol significantl medicall orl
surgicall historyl exceptl forl HTNl controlledl onl hydrochlorothiazide.l Whichl ofl thel
followingl isl thel safest,l mostl effectivel optionl forl symptoml management?
Answer:
Combinationl hormonel therapy
Q:l Al 29-year-oldl femalel presentsl forl evaluationl ofl lowerl extremityl edema.l Shel
deniesl anyl significantl medical.l Physicall examinationl isl significantl forl 3+l lowerl
extremityl edemal andl al bloodl pressurel ofl 88/58l mml Hg.l Al 24-hourl urinel revealsl
proteinl lossl ofl almostl 4.5l g/day.l Whichl additionall laboratoryl findingl isl mostl likelyl
presentl inl thel patient?
Answer:
Elevatedl LDL
Update)l Review|100%l Verifiedl Questionsl
&l Answersl |l Gradel A
Q:l Al 35-year-oldl femalel isl skiingl fastl downl al steepl trail.l Shel fallsl forwardl andl
landsl onl anl abductedl andl extendedl arm.l Shel immediatelyl feelsl al pop,l hasl exquisitel
painl overl herl rightl upperl shoulder,l andl hasl nol sensationl inl herl rightl hand.l Herl
diagnosisl isl mostl likely:
Answer:
Anteriorl dislocationl ofl thel glenohumerall joint.
Q:l Thel NPl isl evaluatingl al patientl withl markedlyl elevatedl bloodl pressurel thatl isl
unresponsivel tol traditionall medications.l Therel isl somel mildl pedall edema,l butl otherl thanl
thel elevatedl BP,l thel physicall examl isl essentiallyl normal.l Al metabolicl panell revealsl thel
following:
Na+l 151l mEq/LK+l 3.0l mEq/LCl-l 114l mEq/LCO2l 28l mEq/LBUNl 10l mg/dLCreatininel
0.9l mg/dL
Thel NPl considersl whichl ofl thel followingl asl al secondaryl causel ofl hypertensionl inl thisl
patient?
Answer:
Hyperaldosteronism
Q:l Whichl ofl thel followingl statinsl isl preferredl forl al 67-year-oldl manl withl
hypercholesterolemial whol drinksl al glassl ofl grapefruitl juicel everyl morning?
Answer:
Pravastatin
Q:l Al 41-year-oldl femalel isl beingl managedl byl herl mentall healthl providerl withl
lithium.l Shel presentsl forl al primaryl carel wellnessl examl andl hasl nol complaints,l butl
,routinel laboratoryl assessmentl revealsl al TSHl ofl 4.5l iU/L.l Whatl isl thel mostl appropriatel
approachl forl thisl patient?
Answer:
Beginl thyroidl replacementl therapy
Q:l Al 42-year-oldl manl wasl recentlyl evaluatedl forl progressivel fatigue.l Hisl diagnosticl
evaluationl includedl al comprehensivel laboratoryl assessmentl whichl showedl al HgbA1cl ofl
8.4%l andl al urinalysisl withl 4+l glucose.l Whichl ofl thel followingl laboratoryl assessmentsl
isl consistentl withl thel presumedl diagnosis?
Answer:
C-peptidel ofl 9l ng/dL
Q:l Whichl pathophysiologicl featurel dol multiplel sclerosisl andl Guillain-Barrel syndromel
share?
Answer:
Immune-mediatedl demyelination
Q:l Al 41-year-oldl womanl presentsl withl chronicl diarrhea.l Shel saysl shel hasl hadl
problemsl withl herl bowelsl forl asl longl asl shel canl remember,l butl itl isl gettingl worse;l
morel oftenl shel hasl thel urgel tol havel al bowell movementl andl doesl notl havel timel tol
getl tol thel bathroom.l Tol pursuel al diagnosisl ofl irritablel bowell syndrome,l whichl findingl
inl thel HPIl isl mostl likelyl presentl inl thisl patient?
Answer:
Intermittentl constipation
Q:l Al 42-year-oldl womanl presentsl withl al 12-hourl historyl ofl progressivelyl worseningl
lowerl abdominall pain,l nausea,l andl fever.l Suspectingl acutel appendicitis,l thel NPl testsl forl
thel Rovsing'sl sign,l whichl isl bestl describedl as:
Answer:
, Painl inl thel rightl lowerl quadrantl duringl left-sidedl palpation.
Q:l Al 61-year-oldl manl presentsl withl complaintsl ofl backl pain,l numbness,l andl
weaknessl onl thel rightl legl alongl withl painl whenl standingl orl walking.l Thel painl hasl
progressivelyl worsenedl overl thel pastl 8l monthsl andl affectsl hisl gait.l Painl isl diminishedl
whenl bendingl forward.l Thel mostl likelyl diagnosisl is:
Answer:
Spinall stenosis.
Q:l Alll ofl thel followingl antimicrobialsl wouldl bel expectedl tol exhibitl inl vitrol activityl
againstl betal lactamasel producingl Moraxellal catarrhalisl except:
Answer:
Amoxicillin
Q:l Al 51-year-oldl womanl isl beingl seenl forl menopausall symptoms.l Shel isl havingl
vasomotorl flushingl dailyl andl itl isl beginningl tol interferel withl herl job.l Shel wakesl upl
almostl everyl nightl andl neverl reallyl feelsl welll rested.l Therel isl nol significantl medicall orl
surgicall historyl exceptl forl HTNl controlledl onl hydrochlorothiazide.l Whichl ofl thel
followingl isl thel safest,l mostl effectivel optionl forl symptoml management?
Answer:
Combinationl hormonel therapy
Q:l Al 29-year-oldl femalel presentsl forl evaluationl ofl lowerl extremityl edema.l Shel
deniesl anyl significantl medical.l Physicall examinationl isl significantl forl 3+l lowerl
extremityl edemal andl al bloodl pressurel ofl 88/58l mml Hg.l Al 24-hourl urinel revealsl
proteinl lossl ofl almostl 4.5l g/day.l Whichl additionall laboratoryl findingl isl mostl likelyl
presentl inl thel patient?
Answer:
Elevatedl LDL
