I n t e r n a L medicine questions Bank

1- Which of the following is not associated with thyroid disease?
a. Dermatitis herpetiformis
b. Urticaria
c. Porphyria cutaneatarda
d. Vitiligo
e. Alopecia areata

2 - Radiofemoral delay present in one of the following condition?
a. In Angina pectoris
b. Coarctation of the aorta
c. Renal artery stenosis
d. Heart failure
e. secondary hypertention

3 - Apatient presents with a decreased level of consciousness and visual difficulties. Bloodwork reveals an anion gap of 22 and an osmolar gap of 24. Which of the following is most likely responsible?
a. Ethanol
b. Salicylates
c. Renal tubular acidosis type I
d. Methanol
e. Diabetic ketoacidosis

4 - congestive heart failure includes all of the following except ?
a. Jugular venous distention
b. S3
c. Inspiratory rales
d. Enlarged liver
e. Splenomegally


5 - At what CD4 count are HIV patients at increased risk of developing PCP?
a. CD4 count >500x10*6
b. CD4 count 200-499x10*6
c. CD4 count<200x10*6
d. CD4 count< 500x10*6
e. CD4 count<100x10*6


6 - Which finding is not frequently found in Chronic MyelogenousLeukemia (CML)?
a. Elevated WBCs
b. Elevated vitamin B12 level
c. Elevated LDH
d. Translocation between chromosomes 9 and 14
e. Increased uric acid level


7 - Examination of ascitis all are true except?
a. Presence of fluid thrill
b. Presence of percussion dullness
c. Treatment needs lasix and aldactone
d. Presence of fllapping tremors
e. Ballotment can be present


8 - All of the following can inhibit the absorption of ingested non-heme iron except?
a. Alcohol
b. Achlorhydria
c. Phosphate (as found in milk)
d. Phytates (as found in cereals)
e. Antacids