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Question 1
A 58-year-old man presents with 30 minutes of crushing central chest pain radiating to the left arm. ECG shows 2 mm ST-segment elevation in leads II, III, and aVF. He arrives at a hospital with on-site primary PCI available within 60 minutes. What is the most appropriate immediate reperfusion strategy?
Correct Answer:
Primary percutaneous coronary intervention
Question 2
A 70-year-old woman with ischemic cardiomyopathy presents with progressive dyspnea, bilateral basal crackles, and a third heart sound. Echocardiography shows an ejection fraction of 30%. Which listed medication class reduces mortality in heart failure with reduced ejection fraction?
Correct Answer:
ACE inhibitors
Question 3
A 68-year-old man is found to have an irregularly irregular pulse, and ECG confirms atrial fibrillation. He has hypertension and diabetes and a prior transient ischemic attack. His CHA2DS2-VASc score is 5. What is the most appropriate long-term management to reduce stroke risk?
Correct Answer:
Oral anticoagulation
Question 4
A 24-year-old man presents with episodic wheeze, cough, and breathlessness that worsen at night and with exercise. Spirometry shows an obstructive pattern with an FEV1 increase of 15% and 250 mL after a bronchodilator. According to current asthma guidelines, what is the recommended controller foundation of therapy?
Correct Answer:
Inhaled corticosteroid-containing therapy
Question 5
A 67-year-old man with a 40-pack-year smoking history presents with chronic productive cough and progressive exertional dyspnea. Post-bronchodilator spirometry shows an FEV1/FVC ratio of 0.62. Which finding most strongly confirms a diagnosis of chronic obstructive pulmonary disease?
Correct Answer:
Post-bronchodilator FEV1/FVC less than 0.70
Question 1
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About this Exam

Prepare with the SMLE Practice Questions - Saudi Medical Licensing Examination (SMLE) (CBT via Prometric) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, shows, diagnosis, and management. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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SMLE Practice Questions - Saudi Medical Licensing Examination (SMLE) (CBT via Prometric) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, shows, diagnosis, and management. 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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