I n t e r n a L medicine questions Bank

Tumor lysis syndrome

Hypovolemia

Hemolytic uremic syndrome

Neutropenic sepsis

e. Disease progression

42. Which of the following statements is not true concerning the management of pneumonia?

1. 
   Chest X ray is used to confirm diagnosis
   
2. 
   Antibiotics therapy should only start once the infecting organism is identified after culture
   
3. 
   WBC count 4000 cells/mm3 is a criterion for severe community acquired pneumonia
   
4. 
   O2 therapy is commonly used to maintain sao2 90%
   
5. 
   Streptococcus pneumonia is the most common cause of community acquired pneumonia
   

43. A 70 year old women has a history of dyspnea and palpitations for six months, an ECG at that time showed atrial fibrillation, she was given digoxin, diuretics and aspirin. She now presents with two short lived episodes of altered sensation in the left face, arm and leg, there is poor coordination of left hand, ECHO was normal as was a CT head scan. What is the most appropriate next step in management?

1. 
   Anticoagulant
   
2. 
   Carotid endarterectomy
   
3. 
   Clopidogrel
   
4. 
   Corticosteroid
   
5. 
   No action
   

44. Which of the following is not associated with an anion gap metabolic acidosis?

1. 
   Diabetic ketoacidosis
   
2. 
   Tissue hypoxia
   
3. 
   Renal failure
   
4. 
   Diuretics therapy
   
5. 
   Isoniazid toxicity
   

45. Which of the following autoantibodies is least likely to be present in a patient with systemic lupus erythematosus?

1. 
   Anti-dsDNA
   
2. 
   Antinuclear antibodies
   
3. 
   Anti-La(ss-B)
   
4. 
   Antiphospholipid
   
5.