Question: 50-year-old male with ST depression, elevated enzymes, symptoms improved with tPA… Type of MI?

Answer Choices:
A. STEMI
B. NSTEMI
C. Transmural MI
D. 2 of the above are correct

Answer: B. NSTEMI

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: 68-year-old male, frequent infections, high calcium, Bence Jones proteins… Correct diagnosis?

Answer Choices:
A. Burkitt’s Lymphoma
B. Multiple Myeloma
C. Non-Hodgkin Lymphoma
D. Chronic Myelogenous Leukemia

Answer: B. Multiple Myeloma

Question: 22-year-old female with night sweats, Reed Sternberg cells, eosinophilia… Likely 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: 17-year-old male collapses during basketball, dies, 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: A student punctured a major artery and lost a lot of blood… Which 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 9-year-old boy presents with fever, SOB, chest pain… wedge-shaped consolidation seen in one lobe of the lung. Likely DX?

Answer Choices:
A. Pneumonia
B. Tuberculosis
C. Emphysema
D. Bronchitis

Answer: A. Pneumonia

Question: A 45-year-old female with crushing 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: 60-year-old female, smoker, abnormal alveoli enlargement, increased TLC… Likely diagnosis?

Answer Choices:
A. Emphysema
B. Chronic bronchitis
C. Bronchiectasis
D. Asthma
E. Cystic fibrosis

Answer: A. Emphysema

Question: A 50-year-old male with chest pain, ST depression, negative troponin… pain resolved with nitroglycerin. Likely ACS type?

Answer Choices:
A. STEMI
B. NSTEMI
C. Unstable Angina
D. None of the above

Answer: C. Unstable Angina

Question: A neonate with slanted eyes, small head, single palmar crease, AV canal defect… Likely genetic diagnosis?

Answer Choices:
A. Turner Syndrome
B. Achondroplasia
C. Down Syndrome
D. Klinefelter Syndrome

Answer: C. Down Syndrome

Question: 18-year-old pregnant diabetic female with ABG: pH 7.16, HCO₃ 7.6, PCO₂ 16… What is the 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: 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: 76-year-old woman with pitting edema and BP 184/102… Cause of 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: 19-year-old female, fatigue, paresthesia, 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: A 72-year-old male with fatigue and positive fecal occult blood… What would CBC most likely show?

Answer Choices:
A. Low MCV
B. High MCH
C. Normal MCHC
D. High MCHC

Answer: A. Low MCV

Question: A 10-year-old girl with wheezing, pain during cold exposure and running… Most likely diagnosis?

Answer Choices:
A. Tuberculosis
B. Asthma
C. Acute bronchitis
D. Cystic Fibrosis

Answer: B. Asthma

Question: A 35-year-old male presented with right-sided facial drooping… Which of the following is the best response?

Answer Choices:
A. Transient Ischemic Attack
B. Bell’s Palsy due to post-viral syndrome from HSV1
C. Stroke
D. Meniere’s Disease

Answer: B. I believe you have 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