I n t e r n a L medicine questions Bank

Obesity is associated with an increased risk of, except:

1. 
   Cancer
   
2. 
   Diabetes
   
3. 
   Hypertension
   
4. 
   Biliary disease
   
5. 
   COPD
   

4. 
   Worldwide, the most common cause of renal failure is?
   
   1. 
      Diabetes
      

5. 
   Case history: Patient presents to ER with K of 7.9 mmol/L and… the best initial management:
   

1. 
   Calcium gluconate
   
2. 
   Calcium resonium C.
   
   
   

6. 
   One of the following does not metastasize to the CNS:
   
   1. 
      ALL
      

Answer: AML is the leukemia that metastasizes to the CNS.

7. 
   Wrong about diagnosis of ALL:
   
   1. 
      Lumbar puncture
      

8. 
   Worst prognosis in a patient diagnosed with ALL is with the following at the presentation:
   

1. 
   Neurological involvement
   
2. 
   Philadelphia chromosome
   
3. 
   Male
   
4. 
   Age
   

Answer: Increasing age\ Philadelphia chromosome\ WBC >30,000

9. 
   Wrong about iron defeciency anemia:
   
   1. 
      Low TIBC
      
   2. 
      Low retics response
      

Answer: (A) High TIBC Corrected reticulocyte count = %reticulocyte X (Patient's Hct/Expected normal Hct of 40) Our patient's Corrected reticulocyte count is 2.5 x 23 / 40. It is 1.2%. Less than 2% = hypoproliferative type. This means that her anemia is due to underproduction of red cells by the bone marrow.

10.