I n t e r n a L medicine questions Bank

68 - Hemolytic anemia is characterized by all of the following except?
a. Increased LDH b. Increased reticulocytosis
c. Increased unconjugated bilirubin d. Increased haptoglobin
e. Lead poisoning

69 - The treatment of choice for thrombotic events in the antiphospholipid antibody syndrome is?
a. Intravenous steroids b. High-dose oral steroids with a rapid taper
c. Penicillamine d. Aspirin
e. Warfarin


70 - Impaired coronary flow reserve is associated with each of the following conditions except?
a. Severe aortic stenosis
b. Severe systemic hypertension with left ventricular hypertrophy
c. Severe mitral stenosis in the presence of atrial fibrillation
d. A totally occluded coronary artery but with excellent collateral supply from the contralateral coronary artery
e. An isolated 30% diameter stenosis of a coronary artery


71 - An 11 year old male comes in with erythematous pustules,inflamed nodules and cysts with some scaring distributed on the face predominantly. Diagnosis of acne vulgaris was given.Topicalerythromycin was used for 2 weeks, several months ago,with no response. What treatment would you prescribe now?
a. Accutane immediately
b. Topical tretinoin
c. Topical benzoyl peroxide
d. Topical antibiotic other than erythromycin
e. Oral antibiotic and topical tretinoin

72 - Radiographic features of osteoarthritis of the knee include which of the following?
a. Marginal erosions
b. Juxta-articular osteopenia
c. Loss of articular cartilage with narrowing of the radiologic joint space
d. Osteonecrosis of the medial femoralcondyle
e. High riding patella


73 - A65 year-old male with back pain, nephrotic syndrome and anemia present to the ER. Ultrasound shows normal kidney size.His creatinine is 500. Which diagnosis best fits the scenario?
a. Polycystic kidney disease
b. Chronic GN