I n t e r n a L medicine questions Bank

High riding patella (patella alta)

57. Which of the following statements concerning the use of captopril is true?

1. 
   Decease plasma renin activity
   
2. 
   Increase the degradation of circulating bradykinin
   
3. 
   Increase the formation of angiotensin II
   
4. 
   Cannot be used safely in combination with beta blocking agent
   
5. 
   Contraindicated in patients with bilateral renal artery stenosis
   

58. Recognized causes of dysphagia include all of the following except?

1. 
   Esophageal CA
   
2. 
   Esophageal stricture
   
3. 
   Gastric ulcer
   
4. 
   Myasthenia gravis
   
5. 
   Achalasia
   

59. An adult female present with a sore throat and dry cough . she has had a low grade fever for 3 days. She says her colleagues at work have had similar symptom. The CXR is un remarkable. She has a WBC of 14.6/mm3. The provider thinks she has community-acquired pneumonia . which of the following would be the best first choice ?

1. 
   Azithromycin
   
2. 
   Ampicillin
   
3. 
   Trimethoprim-sulfa
   
4. 
   Tetracycline
   
5. 
   3^rd generation cephalosporin
   

60. A 45 Y/O man with Hx of alcohol excess is diagnosed as having grade 3 esophageal varices, during an outpatient endoscopy. Of the following options, what is the most appropriate management to prevent variceal bleeding?

1. 
   Propranolol
   
2. 
   Isosorbide mononitrate
   
3. 
   Endoscopic sclerotherapy
   
4. 
   Terlipressin
   
5. 
   Lansoprazole
   

61. In a patient with central chest pain at rest, all of the following are true except?

1. 
   Interscapular radiation suggest the possibility of aortic dissection
   
2. 
   Postural variation in pain suggest the possibility of pericarditis
   
3. 
   Chest wall tenderness is not suggestive of cardiac pain
   
4.