I n t e r n a L medicine questions Bank

a. Reiter’s syndrome
b. Gonococcal arthritis
c. Behcet disease
d. Acquired immune deficiency syndrome
e. Psoriatic arthritis


57 - A53 year old patient presents to your office with pain and stiffness in both hands and knees of 6 months duration. All of the following findings on your physical examination may help with a diagnosis except?
a. Joint tenderness or effusions
b. Maculopapular rash
c. Iridocyclitis
d. Hepatosplenomegaly
e. Distal joint involvement

58 - A28 year old black male comes in with an asymptomatic erythematous eruption characterized by oval patches with collarette scaling. It is distributed as a "Christmas tree" pattern on the back.Father states that there was originally one lesion on the abdomen afew weeks prior. What is the most likely diagnosis?
a. Pityriasisrosea
b. Tinea corporis
c. Lichen planus
d. Psoriasis
e. Pyoderma gangrenosum


59 - Which of the following is a feature of secretory diarrhea?
a. Small stool volume (< 1L/day)
b. Increased stool osmotic gap
c. Persistent diarrhea despite fasting
d. Blood andor pus in stools
e. Malodorous, often floating stools

60 - Which of the following is not a common infectious cause of acute diarrhea?
a. Escherichia coli b. Shigella
c. Norwalk virus d. Vibrio cholerae
e. Helicobacter pylori


61 - Which of the following would not be part of your plan for the treatment of acute ventricular fibrillation?
a. Electrical defibrillation b. Lidocaine
c. Epinephrine d. Bretylium
e. Manganese


62 - A58 year-old man with a past history of a parathyroidectomy for primary hyperparathyroidism is now in your office complaining of headaches worse in the AM (made worse by a small MVA he credits to a loss of peripheral vision). You plan to?
a. Send to the Emergency Department for an immediate CT head
b. Check his calcium to ensure there’s no remaining parathyroidtissue
c. Check for a pheochromocytoma (which you know causes H/As) because you are concerned he has MEN I syndrome
d. Check for a homonymous hemianopia because you are worried about a pituitary tumor