Arab Board Internal Medicine Clinical Exam Practice Questions - Arab Board Internal Medicine Final Clinical and Oral Examination (ABHS) Exam - Arab Board Internal Medicine Clinical Exam Practice Questions - Arab Board Internal Medicine Final Clinical and Oral Examination (ABHS) Exam

Question 1

A 74-year-old man presents with exertional presyncope and angina. On cardiovascular examination, you palpate a slow-rising, low-amplitude carotid pulse and auscultate a harsh crescendodecrescendo ejection systolic murmur at the right upper sternal border that peaks late in systole and radiates to the carotids. The second heart sound (S2) is soft and single. Which bedside physical finding most strongly correlates with severe aortic stenosis?

Early-peaking systolic murmur with a loud aortic component of S2 Pulsus parvus et tardus with late-peaking systolic murmur and paradoxical splitting of S2 Bounding, collapsing water-hammer pulse with wide pulse pressure Systolic click followed by a late systolic murmur accentuated by standing

Correct Answer:

Pulsus parvus et tardus with late-peaking systolic murmur and paradoxical splitting of S2

Question 2

During a bedside clinical examination of a 55-year-old woman with peripheral edema and a pansystolic murmur at the lower left sternal edge, you suspect tricuspid regurgitation rather than mitral regurgitation. Which physical examination finding best differentiates tricuspid regurgitation from mitral regurgitation?

Murmur radiation to the left axilla Augmentation of murmur intensity during inspiration (Carvallo sign) Augmentation of murmur intensity during the strain phase of the Valsalva maneuver Accentuation of the murmur in the left lateral decubitus position

Correct Answer:

Augmentation of murmur intensity during inspiration (Carvallo sign)

Question 3

An 82-year-old woman presents with recurrent lightheadedness and bradycardia. On inspection of the jugular venous pulse (JVP), you observe intermittent, large, abrupt positive venous pulsations ('cannon a waves'). Which underlying cardiac electrophysiological condition is most likely responsible?

Atrial fibrillation with rapid ventricular response Complete (third-degree) atrioventricular block Constrictive pericarditis Severe tricuspid regurgitation

Correct Answer:

Complete (third-degree) atrioventricular block

Question 4

A 28-year-old man presents with sharp substernal chest pain that worsens on lying flat and improves when leaning forward. His 12-lead ECG shows widespread upward-concave ST-segment elevation with PR-segment depression in leads I, II, aVF, and V2-V6, accompanied by PR elevation in lead aVR. What is the most likely diagnosis?

Acute ST-elevation anterior myocardial infarction Acute pericarditis Brugada syndrome Prinzmetal (vasospastic) angina

Correct Answer:

Acute pericarditis

Question 5

A 68-year-old man with ischemic cardiomyopathy presents with severe acute dyspnea, orthopnea, and pink frothy sputum. Blood pressure is 185/105 mmHg, heart rate is 118 bpm, and oxygen saturation is 84% on ambient air. Bilateral diffuse coarse crackles and wheezes are present throughout all lung zones. What is the most appropriate initial combination therapy?

Intravenous beta-blocker, high-flow nasal cannula, and oral spironolactone Non-invasive positive pressure ventilation (CPAP/BiPAP), intravenous loop diuretic, and intravenous vasodilator (nitroglycerin) Immediate endotracheal intubation, intravenous diltiazem, and rapid 0.9% saline infusion Intravenous digoxin, subcutaneous heparin, and oral sacubitril-valsartan

Correct Answer:

Non-invasive positive pressure ventilation (CPAP/BiPAP), intravenous loop diuretic, and intravenous vasodilator (nitroglycerin)

Question 1

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Prepare with the Arab Board Internal Medicine Clinical Exam Practice Questions - Arab Board Internal Medicine Final Clinical and Oral Examination (ABHS) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, serum, mmol, and mmhg. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Arab Board Internal Medicine Clinical Exam Practice Questions - Arab Board Internal Medicine Final Clinical and Oral Examination (ABHS) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, serum, mmol, and mmhg. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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Arab Board Internal Medicine Clinical Exam Practice Questions - Arab Board Internal Medicine Final Clinical and Oral Examination (ABHS) Exam

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