I n t e r n a L medicine questions Bank

78 - Psychiatric symptoms may be a presenting feature of the following disorders?
a. Hypothyroidism
b. Vitamin B12 deficiency
c. Bronchial carcinoma
d. Cushing's disease
e. Crohn's disease


79 - In the course of DKA, serum potassium levels?
a. Remain unaffected
b. Can appear normal but total body potassium may actually be low
c. Can appear normal but total body potassium may actually be high
d. Will naturally be corrected by insulin administration
e. Can't be corrected if the patient presents late


80 - Which of the following pulmonary function tests most reliably discriminates “pure” chronic bronchitis from emphysema?
a. Total lung capacity b. Functional residual capacity
c. Residual volume d. Single breath diffusing capacity
e. Flow at 50% vital capacity


81 - Which of the following is least likely to contribute to myeloma?
a. Hypercalcemia
b. Amyloidosis
c. Infiltration of the kidney by myeloma cells
d. Hyperuricemia
e. Intratubular light chain deposition

82 - It is unlikely to see macrocytosis in a patient with anemia in which of the following?
a. Reticulocytosis
b. Vitamin B12 deficiency
c. Folate deficiency
d. Myelodysplastic syndrome
e. Sideroblastic anemia

83 - A55 year-old man with a history compatible with chronic bronchitis presents to your office with shortness of breath. In the history, all of the following would be anticipated except?

a. A20-year history of smoking
b. Worsening of symptoms with exposure to smog
c. Worsening of symptoms with acute respiratory infections
d. Recurrent episodes of pleurisy
e. Increased incidence of chronic respiratory disease in familymembers


84 - Drugs that affect platelets include all except?
a. Low molecular weight heparin b. Aspirin
c. Isoniazid d. D-penicillamine