I n t e r n a L medicine questions Bank

Which of the following procedures is most likely to document the cause of this patients symptoms ?
A ) MRI of the cervical region and shoulders B ) An intact parathyroid hormone level test
C ) Congo red staining of the carpal tunnel band or periarticular lytic lesions xxx D ) A transiliac bone biopsy
E ) A deferoxamine challenge test

7. 
   ) A 19 year old man presents to ER with nausea & vomiting . He has been attending a wrestling camp for 2 days and had been in good health previously . He has an oral temperature of 38 ºC , the remainder of his vital signs are normal .
   

Labs :
Cr 2 mg/dl , Urine analysis : protein + 1 , blood + 3 , microscopic RBC 0-3 / HPF , WBC 0 , casts positive
What is the most appropriate next step :
A ) Prescribe acetaminophen , oral hydration , and abstinence from exercise for the next 3 days
B ) Prescribe Aspirin , oral hydration, & abstinence from exercise for the next 3 days C ) Admit to hospital & order Iv hydration xxxx
D ) Order a toxic screen for drugs
E ) Order a throat culture and antistreptolysin O titer

8. 
   ) A 33 year old woman presented with Sarcoidosis , her labs showed :
   

BUN 13 mg/dl ,Na 140 meq/L , K 3.8 meq/L , Cl 105 meq/L , Ca 11.9 mg/dl , PO4 3.5 mg/dl , Cr 1.9 mg/dl , alb 4 g/dl , CO2 23 meq/L .

All the following are likely to be a finding in this patient except :
A ) Increased intestinal Ca absorption
B ) Increased production of 1,25 dihydroxyvitamin D3 C ) Increased levels of PTH xxxx
D ) Hypercalciuria
E ) Increased risk for nephrolithiasis

9. 
   ) A 55 year old male has progressive CRI dueto type II Diabetic Nephropathy & hypertension . His Cr clearance is 23 ml/min , his serum Cr is 3.1 mg/dl . He has just returned from an introductory educational session regarding dialysis & transplant options . He asks your opinion about the best options