I n t e r n a L medicine questions Bank

Wegener granulomatosis

Goodpasture syndrome

25. Which of the following is least likely to be a precipitating factor in digoxin toxicity ?

1. 
   Hypokalemia
   
2. 
   Hypocalcemia
   
3. 
   Increasing age
   
4. 
   Renal failure
   
5. 
   Hypothyroidism
   

26. What characterizes ARDS ( adult respiratory distress syndrome )?

1. 
   Pao2/fio2and gt : 200mmhg
   
2. 
   Pao2/fio2and it :200 mmhg
   
3. 
   Pao2/fio2 and it : 300mmhg
   
4. 
   Fio2/pao2 and it :200 mmhg
   
5. 
   Fio2/pao2and it :300 mmhg
   

27. A blood test shows a prolonged bleeding time and activated partial thromboplastin time, while platelet count and prothrombin times are all normal, the most likely diagnosis is ?

1. 
   Von Willebrand disease
   
2. 
   Liver disease
   
3. 
   Disseminated intravascular coagulation
   
4. 
   Antiphospholipid syndrome
   
5. 
   Hemolytic uremic syndrome
   

28. Which of the following patients is most likely to develop destruction of renal papillae with concomitant tubule interstitial damage ?

1. 
   A middle aged man who has consumed alcohol
   
2. 
   An older man with early stage prostate adenocarcinoma
   
3. 
   A young adult women with thalassemia
   
4. 
   An older women who uses analgesics for chronic headaches
   
5. 
   A middle aged women with her first episode of UTI which is associated with pyuria
   

29. A 50 year old patient presents with pneumonia , received standard treatment, 4 days later on , developed diarrhea , which of the following organism responsible for this diarrhea ?

1. 
   Campylobacter jejuni
   
2.