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1. A 68-year-old male patient presents with a sudden onset of severe chest
pain radiating to his left arm. What is the most likely diagnosis?
 A. Acute myocardial infarction
 B. Stable angina
 C. Musculoskeletal pain
 D. Pericarditis
 Answer: A. Acute myocardial infarction
 Rationale: The presentation is classic for an acute myocardial infarction
(AMI), which requires immediate assessment and intervention.
2. A patient with chronic obstructive pulmonary disease (COPD) is
experiencing an acute exacerbation. Which of the following interventions
should be prioritized?
 A. Prescribe antibiotics
 B. Initiate oxygen therapy
 C. Schedule a chest X-ray
 D. Increase oral fluid intake
 Answer: B. Initiate oxygen therapy
 Rationale: Oxygen therapy is crucial for patients experiencing an acute
exacerbation of COPD to improve hypoxemia.
3. An adult patient presents with symptoms of confusion, headache, and a
fever of 39°C. Which condition should be urgently ruled out?
 A. Migraine
 B. Meningitis
 C. Hypoglycemia
 D. Heat stroke
 Answer: B. Meningitis
 Rationale: These symptoms are concerning for meningitis, a medical
emergency that requires prompt diagnosis and treatment.
4. In assessing a patient with acute renal failure, which laboratory finding
is most indicative of this condition?
 A. Decreased serum creatinine
 B. Elevated blood urea nitrogen (BUN)
 C. Low urine specific gravity
 D. Decreased white blood cell count
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