I n t e r n a L medicine questions Bank

25 year old female presented to OPD with Bp 160/100 , she stated that her Bp was the same over the past 2 weeks .

All the following are first line investigations for this patient except :

1. 
   Urine analysis
   
2. 
   Lipid profile
   
3. 
   Fasting blood sugar
   
4. 
   MRA for renal arteries
   

12. 
    35 year old female previously healthy presented to ER c/o generalised weakness , Bp 110/80 . Irregular irregular pulse
    

Labs : K 2.5 meq / L , Cl 100 meq /L , Na 135 meq /L ABG : PH 7.48 , HCO3 30 meq/L , PCO2 40 mm Hg
All the following can be in the differential diagnosis of this case except :

1. 
   Bulimia
   
2. 
   Barter syndrome
   
3. 
   Hypercalcemia
   
4. 
   Primary Hyperaldosteronism
   
5. 
   Diuretic abuse
   

12. 
    20 year old male came to OPD with c/o of passing red urine , which was preceded by URTI the previous morning .Upon exam Bp 170/95 otherwise Negative :All the following can present in the above disease except :
    

1. 
   More common in males May run in families
   
2. 
   Mesangial expansion by kidney
   
3. 
   iopsy Symptoms may recur with
   
4. 
   uture URTI
   
5. 
   Low complement
   

12. 
    25 year old female was admitted to hospital with referred to OPD due to incidental finding of the following labs & ABG :
    

PH 7.32 , HCO3 15
Cr 1.0 mg/dl , urea 35 meq/l , Na 135 meq /L , Cl 110 meq/l
All the following may cause the above except :

1. 
   Acetazolamide
   
2. 
   treatment Fanconi syndrome
   
3. 
   Treatment with Thiazide
   
4. 
   Primary hyper parathyroid Diarrhea