Question: 17-year-old male dies suddenly during basketball game… Autopsy finding?
Answer Choices: A. Liquefactive Necrosis of the lungs B. Dilated Cardiomyopathy C. Hypertrophic Obstructive Cardiomyopathy D. Restrictive Cardiomyopathy
Answer: C. Hypertrophic Obstructive Cardiomyopathy
Question: 19-year-old female with fatigue, clumsiness, red tongue, macrocytic anemia… What else would you expect?
Answer Choices: A. Low Cyanocobalamin (Vit B12) levels B. Low Folate (Vit B9) levels C. High Folate (Vit B9) levels D. Low Iron levels E. High Cyanocobalamin (Vit B12) levels F. High iron levels
Answer: A. Low Cyanocobalamin (Vit B12) levels
Question: Alkalosis can cause which of the following electrolyte imbalance(s)?
Answer Choices: A. Hypercalcemia B. Hypocalcemia C. Hypokalemia D. Hypocalcemia and Hypokalemia E. Hypocalcemia and Hyperkalemia
Answer: D. Hypocalcemia and Hypokalemia
Question: Neonate with AV canal defect, slanted eyes, small head, single palmar crease… Which genetic abnormality?
Answer Choices: A. Turner Syndrome B. Achondroplasia C. Down Syndrome D. Klinefelter Syndrome
Answer: C. Down Syndrome
Question: 45-year-old female with 8/10 chest pain radiating to back… Which test to order FIRST?
Answer Choices: A. Echocardiogram B. Troponin I and CK-MB levels C. EKG D. Radionucleotide stress test
Answer: C. EKG
Question: 18-year-old pregnant diabetic with lightheadedness and ABG: pH 7.16, PCO2 16, HCO3 7.6… What acid/base disorder?
Answer Choices: A. Uncompensated respiratory acidosis B. Uncompensated respiratory alkalosis C. Compensated metabolic acidosis D. Compensated metabolic alkalosis E. Compensated respiratory alkalosis
Answer: C. Compensated metabolic acidosis
Question: 10-year-old girl with high-pitched wheeze, cold-induced lung pain… Most likely diagnosis?
Answer Choices: A. Tuberculosis B. Asthma C. Acute bronchitis D. Cystic Fibrosis
Answer: B. Asthma
Question: 72-year-old male, chronic fatigue, positive fecal occult blood test… What to expect on CBC?
Answer Choices: A. Low MCV B. High MCH C. Normal MCHC D. High MCHC
Answer: A. Low MCV
Question: 68-year-old African American male with frequent infections, hypercalcemia, M-proteins, Bence Jones proteins… Diagnosis?
Answer Choices: A. Burkitt’s Lymphoma B. Multiple Myeloma C. Non-Hodgkin Lymphoma D. Chronic Myelogenous Leukemia
Answer: B. Multiple Myeloma
Question: A student punctured a major artery and lost a lot of blood… What type of anemia would be seen?
Answer Choices: A. Normocytic Normochromic Anemia B. Macrocytic Hyperchromic Anemia C. Microcytic Hypochromic Anemia D. Normocytic Hyperchromic Anemia E. Macrocytic Hypochromic Anemia
Answer: A. Normocytic Normochromic Anemia
Question: A 35-year-old male presented to the ED with right-sided facial drooping… Which of the following is the best response to the patient?
Answer Choices: A. Transient Ischemic Attack B. Bell’s Palsy due to post-viral syndrome from HSV1 C. Stroke – send for CT scan D. Early stages of Meniere’s Disease
Answer: B. Bell’s Palsy due to post-viral syndrome from HSV1
Question: A 48-year-old female with Diabetes Insipidus has been urinating a lot… Which type of shock do you suspect she is in?
Answer Choices: A. Hypovolemic shock B. Septic shock C. Anaphylactic shock D. Cardiogenic Shock
Answer: A. Hypovolemic shock
Question: A 9-year-old boy with asthma, fever, elevated WBCs, and wedge-shaped consolidation… What is the likely diagnosis?
Answer Choices: A. Pneumonia B. Tuberculosis C. Emphysema D. Bronchitis
Answer: A. Pneumonia
Question: 22-year-old female with night sweats, fatigue, and Reed-Sternberg cells… Diagnosis?
Answer Choices: A. Non-Hodgkin’s Lymphoma B. Hodgkin’s Lymphoma C. Acute Lymphocytic Leukemia D. Burkitt Lymphoma
Answer: B. Hodgkin’s Lymphoma
Question: Which of the following intracellular changes will occur due to hypoxic cell injury?
Answer Choices: A. Increased protein synthesis B. Increased ATP C. Increased intracellular calcium D. Decrease in reactive oxygen species E. Decrease in cell membrane permeability
Answer: C. Increased intracellular calcium
Question: 60-year-old female smoker with enlarged alveoli and increased TLC… Best diagnosis?
Answer Choices: A. Emphysema B. Chronic bronchitis C. Bronchiectasis D. Asthma E. Cystic fibrosis
Answer: A. Emphysema
Question: A scientist predicts that germinating beans will use more oxygen than non-germinating beans. This prediction is referred to as which of the following?
Answer Choices: A. A hypothesis B. A conclusion C. An observation D. Data collection
Answer: A. A hypothesis
Question: 76-year-old female with bilateral pitting edema and BP 184/102… What explains her edema?
Answer Choices: A. Increased Interstitial Fluid Hydrostatic Pressure (IFHP) B. Increased Circulatory Osmotic Pressure (COP) C. Increased Circulatory Hydrostatic Pressure (CHP) D. Decreased capillary permeability
Answer: C. Increased Circulatory Hydrostatic Pressure (CHP)
Question: 50-year-old male with ST depression and negative enzymes, symptoms relieved… Which acute coronary syndrome?
Answer Choices: A. STEMI B. NSTEMI C. Unstable Angina D. None of the above are correct
Answer: C. Unstable Angina
Question: 50-year-old male with chest pain, ST depression, positive enzymes, improved with tPA… What type of MI?
Answer Choices: A. STEMI B. NSTEMI C. Transmural MI D. 2 of the above are correct
Answer: B. NSTEMI