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Question 1
A 65-year-old man in your residency clinic with NYHA class II HFrEF (EF 30%) is on lisinopril 20 mg, carvedilol 25 mg BID, and furosemide 40 mg daily. His K is 4.5, Cr 1.1, BP 118/72. What is the most appropriate next step to optimize GDMT?
Correct Answer:
Switch lisinopril to sacubitril-valsartan, add spironolactone, and add dapagliflozin
Question 2
A 72-year-old hospitalized with community-acquired pneumonia (CURB-65 = 3) is treated with ceftriaxone and azithromycin. The attending asks about adjunctive OMT. Which OMT technique has Level I evidence supporting its use in elderly hospitalized pneumonia (MOPSE trial)?
Correct Answer:
Lymphatic pump techniques (thoracic, pedal) plus paraspinal inhibition
Question 3
CDM-style: A 58-year-old man with new-onset atrial fibrillation (HR 130, BP 110/70) presents to your ED. Which initial workup items are MOST appropriate? (Select all that apply for CDM)
Correct Answer:
TSH, echocardiogram, CHA2DS2-VASc score, and CMP/troponin
Question 4
A 45-year-old post-op day 2 from open colectomy develops abdominal distension, absent bowel sounds, and inability to pass flatus. KUB shows distended small bowel loops without obstruction. What is the most appropriate management including OMT adjuncts?
Correct Answer:
NG tube decompression, IV fluids, ambulation, plus rib raising and mesenteric release OMT
Question 5
A 28-year-old G2P1 at 39 weeks gestation in your residency presents with severe headache, BP 168/112, and 4+ proteinuria. She has hyperreflexia. After IV labetalol and magnesium sulfate, what is the definitive treatment?
Correct Answer:
Delivery (induction or cesarean depending on fetal/cervical status)
Question 1
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About this Exam

Prepare with the COMLEX Level 3 Practice Questions - COMLEX-USA Level 3 Exam practice quiz. This question bank includes 100 questions covering year-old, presents, shows, pain, 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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COMLEX Level 3 Practice Questions - COMLEX-USA Level 3 Exam

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