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Question 1
A 66-year-old male with symptomatic heart failure and reduced ejection fraction (LVEF 30%) remains in NYHA class III despite treatment with sacubitril/valsartan 97/103 mg twice daily, empagliflozin 10 mg daily, and eplerenone 50 mg daily. His blood pressure is 118/74 mmHg and heart rate is 78 bpm in sinus rhythm. According to ESC and SGAIM guidelines, which medication should be added to complete the four pillars of guideline-directed medical therapy (GDMT)?
Correct Answer:
Bisoprolol titrated to target dose (or carvedilol/metoprolol succinate)
Question 2
A 58-year-old female presents to the emergency department with 45 minutes of crushing substernal chest pain. The ECG shows 2.5 mm ST-segment elevations in leads II, III, and aVF with reciprocal ST depressions in I and aVL. Blood pressure is 88/54 mmHg, heart rate is 52 bpm, and clear lung fields are noted on auscultation. What is the most appropriate next step in management?
Correct Answer:
Right-sided precordial ECG (leads V3R-V4R) and urgent primary percutaneous coronary intervention (PCI)
Question 3
A 72-year-old woman with persistent non-valvular atrial fibrillation has a history of hypertension, type 2 diabetes mellitus, and a remote ischemic stroke (CHA2DS2-VASc score = 6). Her serum creatinine is 85 µmol/L (eGFR 68 mL/min/1.73 m²). Which anticoagulant strategy is recommended as first-line for stroke prevention according to ESC/SGAIM guidelines?
Correct Answer:
Direct oral anticoagulant (DOAC) such as apixaban, rivaroxaban, edoxaban, or dabigatran
Question 4
An 81-year-old male presents with progressive exertional dyspnea, angina, and an episode of near-syncope while walking uphill. Cardiac auscultation reveals a harsh, late-peaking systolic ejection murmur at the right upper sternal border radiating to the carotids, with a diminished and delayed carotid pulse (pulsus parvus et tardus). Echocardiography shows a mean aortic valve gradient of 48 mmHg, peak velocity of 4.3 m/s, and aortic valve area of 0.7 cm². What is the definitive treatment?
Correct Answer:
Aortic valve replacement (Surgical AVR or Transcatheter Aortic Valve Implantation - TAVI) evaluated by the Heart Team
Question 5
A 62-year-old male with a 40 pack-year smoking history is evaluated for chronic dyspnea and cough. Post-bronchodilator spirometry demonstrates an FEV1/FVC ratio of 0.58 and an FEV1 of 52% of predicted. Over the past 12 months, he experienced two severe COPD exacerbations requiring hospitalization. His peripheral blood eosinophil count is 350 cells/µL. According to GOLD 2024/2026 guidelines, which maintenance inhaler regimen is most appropriate?
Correct Answer:
Triple therapy: Long-Acting Muscarinic Antagonist (LAMA) + Long-Acting Beta2-Agonist (LABA) + Inhaled Corticosteroid (ICS)
Question 1
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Prepare with the Facharzt FMH Allgemeine Innere Medizin Practice Questions - Facharzt FMH für Allgemeine Innere Medizin Spécialiste FMH en médecine interne générale Exam practice quiz. This question bank includes 100 questions covering year-old, serum, mmol, presents, and male. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Facharzt FMH Allgemeine Innere Medizin Practice Questions - Facharzt FMH für Allgemeine Innere Medizin Spécialiste FMH en médecine interne générale Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, serum, mmol, presents, and male. 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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