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20 questions of 330 matching questions · Set 1.

Q1 · Clinical Assessment and Differential Diagnosis · Lesson 1

A patient reports acute crushing chest pain with sweating. Best next step?

A. Arrange emergency assessment immediately B. Schedule routine follow-up next week C. Order a food diary D. Start an exercise log

Q2 · Laboratory Tests, Imaging and Evidence-Informed Practice · Lesson 1

Low Hb and MCV 68 fL: most useful focused iron-storage test?

A. Serum ferritin interpreted with inflammation context B. Random cortisol C. Total IgE D. Troponin

Q3 · Cardiovascular, Vascular and Hematology · Lesson 1

A 62-year-old with diabetes develops exertional pressure and sweating. Which investigation should be obtained immediately during emergency assessment?

A. Stool occult blood test B. Holter monitor next month C. 12-lead ECG D. Elective coronary calcium scan

Q4 · Respiratory Medicine and Infectious Disease · Lesson 1

A patient has sudden dyspnea, tachycardia and pleuritic pain after knee surgery. Which life threat must be prioritized?

A. Stable allergic rhinitis B. Simple chronic cough C. Uncomplicated reflux D. Pulmonary embolism

Q5 · Clinical Assessment and Differential Diagnosis · Lesson 1

Which opening question most supports patient-centred history?

A. What concerns you most about these symptoms? B. Do you definitely have reflux? C. Why did you wait so long? D. You have anxiety, correct?

Q6 · Laboratory Tests, Imaging and Evidence-Informed Practice · Lesson 1

A low MCV with relatively high RBC count suggests which alternative?

A. Thalassemia trait B. Acute thyroid storm C. Hypernatremia D. Acute pancreatitis

Q7 · Cardiovascular, Vascular and Hematology · Lesson 1

A patient has intermittent palpitations twice weekly but a normal resting ECG. Which test best improves rhythm correlation?

A. Coronary artery calcium scan B. Routine spirometry C. Abdominal ultrasound D. Ambulatory ECG monitoring matched to symptom frequency

Q8 · Respiratory Medicine and Infectious Disease · Lesson 1

A breathless patient has SpO2 97% but is somnolent after opioid use. What may still be present?

A. Hypercapnic hypoventilation B. Normal ventilation by definition C. No respiratory risk D. Isolated sinusitis

Q9 · Clinical Assessment and Differential Diagnosis · Lesson 1

Which information is most important when reviewing a new symptom?

A. Onset, progression and associated red flags B. Favourite television shows C. Preferred font size D. Routine shoe size

Q10 · Laboratory Tests, Imaging and Evidence-Informed Practice · Lesson 1

Macrocytosis and numb feet: priority nutritional deficiency to assess?

A. Vitamin B12 B. Vitamin C C. Vitamin K D. Sodium

Q11 · Cardiovascular, Vascular and Hematology · Lesson 1

A 71-year-old has JVP elevation, bilateral edema and crackles. Which syndrome best integrates the findings?

A. Congestive heart failure B. Isolated iron deficiency C. Simple vasovagal syncope D. Acute appendicitis

Q12 · Respiratory Medicine and Infectious Disease · Lesson 1

An exhausted patient with severe dyspnea has a respiratory rate of 8. Which interpretation is safest?

A. Guaranteed recovery B. Possible impending ventilatory failure C. Normal adult respiratory function D. Routine outpatient observation

Q13 · Clinical Assessment and Differential Diagnosis · Lesson 1

A patient speaks limited English. Best approach?

A. Use a qualified interpreter when needed B. Use an untrained child by default C. Skip consent D. Rely only on gestures for complex decisions

Q14 · Laboratory Tests, Imaging and Evidence-Informed Practice · Lesson 1

Anemia with high reticulocytes points toward?

A. Hemolysis or blood loss B. Only marrow suppression C. Never clinically relevant D. Vitamin deficiency exclusively

Q15 · Cardiovascular, Vascular and Hematology · Lesson 1

A 57-year-old has an elevated troponin during severe sepsis with no typical ischemic symptoms. Which interpretation is safest?

A. Troponin always confirms plaque rupture B. Myocardial injury requires clinical assessment for cause C. Troponin elevation excludes myocarditis D. Troponin never rises in sepsis

Q16 · Respiratory Medicine and Infectious Disease · Lesson 1

A patient with cough for 10 weeks takes an ACE inhibitor and has normal examination. Which history is important?

A. Lifelong eye colour B. Shoe size C. Timing of ACE inhibitor initiation D. Ear piercing status

Q17 · Clinical Assessment and Differential Diagnosis · Lesson 2

Which finding should prompt emergency evaluation?

A. New focal arm weakness B. Stable chronic mild knee ache C. Longstanding unchanged freckle D. Occasional brief hiccups

Q18 · Laboratory Tests, Imaging and Evidence-Informed Practice · Lesson 1

Fever with marked neutropenia during chemotherapy calls for?

A. Urgent emergency assessment B. Routine follow-up in months C. Optional diet diary D. No action

Q19 · Cardiovascular, Vascular and Hematology · Lesson 1

A 48-year-old has a regular narrow QRS tachycardia. Which first feature determines the immediate treatment pathway?

A. Total cholesterol B. Hemoglobin A1c C. Hemodynamic stability D. Family history of gallstones

Q20 · Respiratory Medicine and Infectious Disease · Lesson 1

A 43-year-old with chronic wheeze has a low FEV1/FVC. What does this indicate?

A. Confirmed pulmonary fibrosis B. Confirmed tuberculosis C. Confirmed pulmonary edema D. An obstructive ventilatory pattern

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