I n t e r n a L medicine questions Bank

c. Multiple myeloma
d. Diabetic nephropathy
e. Analgesic abuse


74 - A27 year-old man is brought into the ER after a bicycling accident.A car door suddenly opened in front of him, of which he smashedinto and was thrown 15 feet. On examination, he is drowsy andconfused. He opens his eyes when his name is called. He mumbles words that you understand but the sentences do not make sense.He moves all four limbs but does not respond to any commands.He is able to pull both hands away when pinched and squirms,when his sternum is rubbed, making no effort to stop you. What is his Glasgow COMA Scale score?
a. 10
b. 11
c. 9
d. 8
e. 7


75 - A74 year-old, right-handed man presents with a past medical history of hypertension and dyslipidemia for 30 years. He is a retired banker who recently has had trouble calculating his restaurant bill. He also notices that his writing has deteriorated.On physical exam, he has difficulty naming his fingers and is confused with distinguishing left from right. The lesion is most likely in which part of the brain?
a. Right parietal
b. Left parietal
c. Left temporal
d. Right temporal
e. Frontal


76 - A patient complains of a non-tender mass over the thyroid region on the left side of her neck. Concerned about a thyroid disorder,you order the appropriate investigations. The results are as follows:TSH: 6.0,Free T4: 20.2,Thyroid antibodies: none,RAIU: No “hot” spots seen.The next investigation(s) you choose to do are?
a. Watch and wait for 3-6 months
b. FNA
c. Surgical biopsy
d. Trial of L-thyroxine therapy for 6 months
e. Start propranolol
77 - Avirus that is not inactivated by mild detergents that solubilize phospholipid membranes is?
Select one:
a. Poliovirus
b. Variola virus
c. Cowpox virus
d. Vaccina virus
e. Hepatitis C