Barkley Post Test Actual Exam 2025/2026 Newest Version

BARKLEY POST TEST ACTUAL EXAM 2025/2026 - NEWEST VERSION | VERIFIED QUESTIONS & ANSWERS 1. A 56-year-old man has burning epigastric pain that improves with eating. Most likely diagnosis? A. Gastric ulcer B. Duodenal ulcer C. GERD D. Pancreatitis Answer: B Rationale: Duodenal ulcer pain typically improves with food (acid buffered), while gastric ulcer often worsens with food. GERD causes heartburn; pancreatitis causes epigastric pain radiating to back. 2. Best initial test for suspected appendicitis in a 12-year-old? A. Abdominal X-ray B. CT with contrast C. Ultrasound D. MRI Answer: C Rationale: Ultrasound is first choice in children to avoid radiation and visualize appendix.3. A patient on hydrochlorothiazide develops flattened T waves on ECG. Lab abnormality? A. Hypokalemia B. Hyperkalemia C. Hypocalcemia D. Hypermagnesemia Answer: A Rationale: Thiazide diuretics cause potassium loss hypokalemia; flattened T waves are characteristic. 4. A 72-year-old with a harsh systolic murmur radiating to carotids. Exam finding? A. Bounding pulses B. Widely split S2 C. Pulsus parvus et tardus D. Early diastolic murmur Answer: C Rationale: Aortic stenosis delayed carotid upstroke (pulsus parvus et tardus). 5. First-line treatment for asymptomatic bacteriuria in pregnancy? A. Ciprofloxacin B. DoxycyclineC. Nitrofurantoin D. Sulfonamides Answer: C Rationale: Nitrofurantoin is pregnancy-safe