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Question 1
A 59-year-old man has 50 minutes of crushing substernal chest pressure, diaphoresis, and nausea. ECG shows 3-mm ST-segment elevation in leads II, III, and aVF. He is at a hospital with an available catheterization laboratory. What is the next best step?
Correct Answer:
Immediate coronary angiography with primary percutaneous coronary intervention
Question 2
A 67-year-old woman has chest pressure at rest, dynamic ST depressions, and an elevated troponin. Blood pressure is stable. Which medication should be started unless contraindicated while arranging inpatient risk stratification?
Correct Answer:
Aspirin plus anticoagulation with unfractionated heparin or enoxaparin
Question 3
A 61-year-old man has exertional chest pressure that resolves with rest. ECG at rest is normal, and troponin is negative. He can exercise and has an intermediate pretest probability of coronary disease. What is the most appropriate diagnostic test?
Correct Answer:
Exercise ECG stress testing
Question 4
A 72-year-old man with ischemic cardiomyopathy has orthopnea, crackles, jugular venous distention, and leg edema. Oxygen saturation is 88% on room air. Chest x-ray shows pulmonary edema. What is the best initial treatment?
Correct Answer:
Intravenous furosemide with supplemental oxygen
Question 5
A 58-year-old woman with prior anterior myocardial infarction has an ejection fraction of 30% and mild exertional dyspnea. She is euvolemic and has normal potassium and renal function. Which regimen most directly improves survival?
Correct Answer:
Sacubitril-valsartan, evidence-based beta-blocker, mineralocorticoid receptor antagonist, and SGLT2 inhibitor
Question 1
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Prepare with the Medicine Shelf Practice Questions - NBME Clinical Science Subject Exam Medicine Exam practice quiz. This question bank includes 100 questions covering year-old, woman, shows, treatment, and pain. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Medicine Shelf Practice Questions - NBME Clinical Science Subject Exam Medicine Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, woman, shows, treatment, and pain. 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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