Afghanistan Medical Exit Exam Practice Questions - Afghanistan Medical Exit Exam (AMC Government Exit Exam - Medicine) Exam - Afghanistan Medical Exit Exam Practice Questions - Afghanistan Medical Exit Exam (AMC Government Exit Exam

Question 1

A 58-year-old male presents to the emergency department with severe, crushing substernal chest pain radiating to the left arm and jaw that started 90 minutes ago. ECG reveals 3 mm ST-segment elevation in leads V1 through V4. His blood pressure is 135/85 mmHg and pulse is 88 bpm. What is the immediate, most appropriate reperfusion strategy?

Primary percutaneous coronary intervention (PCI) if achievable within 120 minutes, or immediate fibrinolytic therapy if PCI is unavailable Immediate intravenous unfractionated heparin bolus followed by elective coronary angiography within 72 hours Oral administration of high-dose beta-blockers and nitroglycerin infusion with repeat ECG in 6 hours Transesophageal echocardiography to rule out aortic dissection prior to administering any antiplatelet therapy

Correct Answer:

Primary percutaneous coronary intervention (PCI) if achievable within 120 minutes, or immediate fibrinolytic therapy if PCI is unavailable

Question 2

A 65-year-old female with a history of hypertension and chronic heart failure presents with worsening dyspnea on exertion, orthopnea, and bilateral lower extremity edema. On examination, jugular venous pressure is elevated and bilateral lung basilar crackles are heard. Echocardiography shows a left ventricular ejection fraction (LVEF) of 32%. Which combination of disease-modifying pharmacotherapies has been demonstrated to reduce mortality in heart failure with reduced ejection fraction (HFrEF)?

ARNI (or ACE inhibitor/ARB), beta-blocker (e.g., carvedilol), mineralocorticoid receptor antagonist (spironolactone), and SGLT2 inhibitor Loop diuretic (furosemide), digoxin, and calcium channel blocker (amlodipine) Hydralazine monotherapy, thiazide diuretic (hydrochlorothiazide), and oral potassium chloride supplements Aspirin, clopidogrel, warfarin, and high-dose verapamil

Correct Answer:

ARNI (or ACE inhibitor/ARB), beta-blocker (e.g., carvedilol), mineralocorticoid receptor antagonist (spironolactone), and SGLT2 inhibitor

Question 3

A 72-year-old male with long-standing poorly controlled hypertension presents with acute onset of severe, tearing interscapular back pain. On physical examination, blood pressure is 185/110 mmHg in the right arm and 140/85 mmHg in the left arm. A grade II/VI early diastolic murmur is heard along the right sternal border. What is the most definitive diagnostic imaging test of choice in a hemodynamically stable patient?

CT angiography (CTA) of the chest and abdomen Transthoracic echocardiography (TTE) Standard posterior-anterior and lateral chest radiography Abdominal ultrasound examination

Correct Answer:

CT angiography (CTA) of the chest and abdomen

Question 4

A 62-year-old female presents with palpitations and lightheadedness. An ECG demonstrates irregularly irregular narrow-complex tachycardia with no identifiable P waves and a ventricular rate of 145 bpm. Her blood pressure is 125/80 mmHg. She has a history of type 2 diabetes and hypertension. What is her CHA2DS2-VASc score, and what long-term stroke prevention is indicated?

CHA2DS2-VASc score of 3; oral anticoagulation with a direct oral anticoagulant (DOAC) or warfarin is indicated CHA2DS2-VASc score of 1; aspirin 81 mg daily monotherapy is sufficient CHA2DS2-VASc score of 2; dual antiplatelet therapy with aspirin and clopidogrel is recommended CHA2DS2-VASc score of 0; no antithrombotic therapy is needed

Correct Answer:

CHA2DS2-VASc score of 3; oral anticoagulation with a direct oral anticoagulant (DOAC) or warfarin is indicated

Question 5

A 48-year-old male with a history of IV drug use presents with high fever, chills, night sweats, and progressive fatigue for 3 weeks. On physical examination, temperature is 39.1°C, and a new 3/6 holosystolic murmur is heard at the lower left sternal border that increases in intensity with inspiration (Carvallo sign). Transthoracic echocardiography reveals a 12 mm mobile vegetation on the tricuspid valve. What is the most common causative organism?

Staphylococcus aureus Streptococcus viridans Enterococcus faecalis Pseudomonas aeruginosa

Correct Answer:

Staphylococcus aureus

Question 1

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Prepare with the Afghanistan Medical Exit Exam Practice Questions - Afghanistan Medical Exit Exam (AMC Government Exit Exam - Medicine) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, male, examination, and blood. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Afghanistan Medical Exit Exam Practice Questions - Afghanistan Medical Exit Exam (AMC Government Exit Exam - Medicine) Exam

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

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Afghanistan Medical Exit Exam Practice Questions - Afghanistan Medical Exit Exam (AMC Government Exit Exam - Medicine) Exam

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