I n t e r n a L medicine questions Bank

Cardiovascular disease

Hyperkalemia

Infection

Malignancy

Uremia

86. A patient reports that he is using a high dose inhaled steroid along with a short acting beta-agonist for asthma, but continues to experience shortness of breath and wheezing. Which of the following should be added to this patient's treatment regimen?

1. 
   Zafirlukast
   
2. 
   Theophylline
   
3. 
   Long acting beta-agonist
   
4. 
   Omalizumab (Anti-IgE)
   
5. 
   Oral steroids
   

87. Which of the following statements concerning acute rheumatic fever is true? Select one:

1. 
   Migratory polyarthritis occurs in 10% of patients
   
2. 
   Sydenham's chorea typically occurs early in the course of the disease
   
3. 
   Erythema marginatum is a common finding , occurring in 50% of cases
   
4. 
   Secondary prophylaxis should be initiated in order to decrease recurrent episodes of rheumatic fever
   
5. 
   Group A streptococci can usually be recovered in the upper respiratory tract of patients with rheumatic fever
   

88. In ulcerative colitis, cure can be completely achieved by?

1. 
   Total colectomy
   
2. 
   Gastrectomy
   
3. 
   Colonoscopy every 2 years
   
4. 
   Immunosuppressive therapy
   
5. 
   Special diets
   

89. Microscopic hematuria would be an expected finding in all of the following except?

a. urinary tract infection
b. Renal papillary necrosis
c. Minimal change nephropathy
d. Infective endocarditis
e. Renal infarction

90. A 25year old man presents with bloody diarrhea associated with systemic upset. Blood tests show thefollowing,Hb 13,4 g/dl,Platelets 467,000/dI,WBC 3,200/dI,CRP 89 mg/I,A diagnosis of ulcerative colitis is suspected. Which part of the bowel is most likely to be affected?

1. 
   Sigmoid colon
   
2. 
   Rectum
   
3. 
   Ascending colon
   
4. 
   Descending colon
   
5. 
   Terminal ileum
   

91. The chief opportunistic infection in HIV patient is?