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Question 1 of 25
1. Question
Which of the following histological findings is most characteristic of a Ghon focus in primary pulmonary tuberculosis?
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Question 2 of 25
2. Question
A 58-year-old man with a history of hypertension and smoking presents with chest pain on exertion.
An ECG is unremarkable.
Which of the following best describes the underlying pathology?
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Question 3 of 25
3. Question
Which coronary artery is most commonly involved in myocardial infarctions?
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Question 4 of 25
4. Question
A 66-year-old man with a 40-pack-year smoking history presents with progressive shortness of breath.
Physical examination reveals pursed-lip breathing, a barrel-shaped chest, and decreased breath sounds bilaterally.
Chest X-ray shows hyperinflated lungs with flattened diaphragms.
Which of the following best describes the underlying pathological change in this patient’s condition?
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Question 5 of 25
5. Question
Which of the following is the most common cause of ischemic heart disease?
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Question 6 of 25
6. Question
A 29-year-old IV drug user presents with fever, shortness of breath, and hemoptysis.
Chest X-ray reveals multiple cavitating nodules in the lungs.
Blood cultures are pending.
What is the most likely valve involved?
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Question 7 of 25
7. Question
In a Type II hypersensitivity reaction, tissue damage is primarily caused by:
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Question 8 of 25
8. Question
Which of the following findings is most suggestive of infective endocarditis?
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Question 9 of 25
9. Question
A 60-year-old man who has lived in a heavily polluted city for decades undergoes a routine chest X-ray, which reveals carbon-laden macrophages and mild interstitial changes, but he is asymptomatic. What is the most likely diagnosis?
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Question 10 of 25
10. Question
Which cardiac valve is most commonly affected in rheumatic heart disease?
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Question 11 of 25
11. Question
A patient with active pulmonary tuberculosis arrives for dental treatment. What is the most appropriate course of action?
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Question 12 of 25
12. Question
Which of the following is the most common causative organism associated with rheumatic fever?
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Question 13 of 25
13. Question
Which of the following enzymes is most specific for diagnosing myocardial infarction?
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Question 14 of 25
14. Question
Which of the following respiratory conditions is characterized by reversible airway obstruction, eosinophilic inflammation, and bronchial hyperresponsiveness, distinguishing it from other forms of chronic obstructive pulmonary disease (COPD)?
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Question 15 of 25
15. Question
Which of the following is the most common cause of left-sided heart failure?
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Question 16 of 25
16. Question
Which of the following is the most common cause of acute pericarditis worldwide?
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Question 17 of 25
17. Question
An 8-year-old boy presents to the pediatric dental clinic for a routine check-up.
His medical history is significant for cystic fibrosis, with frequent hospitalizations for respiratory infections and pancreatic enzyme supplementation.
Intraoral examination reveals delayed tooth eruption, enamel defects, and moderate plaque accumulation.
The child complains of a dry mouth.
Which of the following is the most likely contributing factor to his oral findings?
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Question 18 of 25
18. Question
A 37-year-old female with a prosthetic mitral valve is scheduled for a dental scaling and root planing.
She has no current signs of infection.
What is the best next step to prevent infective endocarditis?
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Question 19 of 25
19. Question
Which of the following best describes the pathology underlying unstable angina?
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Question 20 of 25
20. Question
A lung abscess most commonly results from which of the following mechanisms?
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Question 21 of 25
21. Question
Mc Callum’s patch is diagnostic feature of which of the following?
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Question 22 of 25
22. Question
Which of the following pathological features is characteristic of primary tuberculosis?
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Question 23 of 25
23. Question
A patient with an atherosclerotic plaque in the carotid artery is at greatest risk of which complication?
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Question 24 of 25
24. Question
A 32-year-old patient presents with hematuria and proteinuria 10 days after a throat infection.
Labs show low complement levels.
What type of hypersensitivity reaction is involved?
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Question 25 of 25
25. Question
Which of the following organisms is most commonly responsible for subacute bacterial endocarditis following a dental procedure?
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