I n t e r n a L medicine questions Bank

b. Severe diverticular disease
c. Familial adenomatous polyposis
d. Ulcerative colitis
e. High fat diet


91 - A18 year old female with initial onset of pruritic rash characterized by excoriations, scaling and crusting and distributed on the extremities, neck and eyelids. Past medical history is significant for asthma and hayfever. The most likely diagnosis is?
a. Scabies
b. Atopic dermatitis
c. Contact dermatitis
d. Shingles
e. Dyshydrotic eczema
92 - Intestinal complications more common to Crohn’s disease than ulcerative colitis include each of the following except?
a. Fistula formation
b. Perianal disease
c. Intestinal obstruction
d. Toxic megacolon
e. Post surgical recurrence

93 - A30 year old female comes in with a soft smooth erythematous nodule on her lower lip. She states that a few weeks prior she had some chapped lips with occasional bleeding. Now, the lips have healed but this lesion arose suddenly in its place. It is occasionally tender on pressure. The most likely diagnosis is?
a. HSV1
b. Cherry hemangioma
c. Pyogenic granuloma
d. Dermal nevus
e. CMV infection


94 - Which of the following is true with respect to diabetes and kidney disease?
a. Primarily affects the tubules
b. Earliest sign is decreased GFR
c. Microalbuminuria is a late sign of DM nephropathy
d. Threshold for dialysis is same as other CRF patients
e. BP control slows progression of DM nephropathy


95 - Highly infective chronic hepatitis B is suggested by?
a. Elevated liver enzymes, HBeAg+, anti-HBc IgM+
b. Normal liver enzymes, HBeAg+, anti-HBc IgG+
c. Normal liver enzymes, HBeAg-, anti-HBc IgG+
d. Elevated liver enzymes, HBeAg+, anti-HBc IgG+
e. Elevated liver enzymes, HBsAg, HBsAb


96 - A40 year-old woman develops recurrent papules and pustules in a symmetrical pattern on her cheeks, nose, chin and forehead. She blushes easily, especially when consuming hot liquids, alcohol, orspicy foods. The most likely diagnosis is?
a. Acne vulgaris
b. Perioral dermatitis