I n t e r n a L medicine questions Bank

e. Maximum deflexion 0f lead AVF is positive

51 - Aviral genome that does not replicate in the cytoplasm of the infected cell is?
a. Poliovirus
b. Rabies virus
c. Cytomegalovirus
d. Rubella virus
e. Mumps virus

52 - A30 year-old patient with asthma complains of daily wheezing and occasional waking at night with cough and chest tightness for three weeks. His usual medication is salbutamol. The next step in management is?
a. Add long-term theophylline
b. Increase salbutamol
c. Add ipratropium bromide
d. Add beclomethasone
e. Discontinue salbutamol and begin prednisone and taper over 2 weeks


53 - All of the following are vitamin-K dependent proteins except?
a. Protein C b. Antithrombin III
c. Factor IX d. Factor II
e. Factor VII

54 - A25 year-old man is admitted with a history suggesting seizures.Which of the following would not support this diagnosis?
a. Urinary incontinence
b. The sound of voices preceding events
c. Drowsiness and weakness following the event
d. Rarely occur when recumbent
e. Stool incontinence


55 - An elevated level of hemoglobin A2 in a patient with mild microcytic anemia suggests the diagnosis of?
a. Alpha thalassemia b. Sickle trait
c. Beta thalassemia d. Hereditary spherocytosis
e. Hereditary persistence of fetal hemoglobin
56 - A21 year old bisexual man has a 4 week history of intermittent diarrhea, urethral discharge, and pain in the right knee and left second toe. He has several oral ulcers, a clear urethral discharge, a scaly papular rash on palms and soles, onycholysis, sausage-like swelling of the left second toe, and heat and swelling of the right knee. The results of Gram stains and cultures of urethral discharge are negative. Rheumatoid factor is not present. The most likely diagnosis is?