I n t e r n a L medicine questions Bank

Low erythropoietin and raised red cell mass

53. A 30 year old women who was 20 weeks pregnant, presents to ambulatory care with pleuritic chest pain and breathlessness, which had been present for 2 days, she had no past medical history, was a non smoker, on exam there was nothing abnormal to find, her creatinine, electrolytes, liver test and baseline clotting results were normal, a chest x ray was also normal, what is the most appropriate next investigation in this case?

1. 
   CT pulmonary angiogram
   
2. 
   Doppler ultrasound of both lower limbs
   
3. 
   MR pulmonary angiogram
   
4. 
   Perfusion scan of the lungs
   
5. 
   Ventilation perfusion scan of the lungs
   

54. A 35 year old patient presents with painful ulcer on genitalia, with mild fever and myalgia. What is the most appropriate treatment?

1. 
   Oral acyclovir
   
2. 
   Gentamycin
   
3. 
   Oral flucloxacillin
   
4. 
   Paracetamol
   
5. 
   Glyceryl trinitrate
   

55. A patient with upper gastrointestinal symptoms tests positive for H pylori following a urea breath teat, which one of the following conditions is most strongly associated h pylori infection?

1. 
   Gastric adenocarcinoma
   
2. 
   Gastro esophageal reflex disease
   
3. 
   Esophageal cancer
   
4. 
   Duodenal ulcer
   
5. 
   e. Atrophic gastritis
   

56. Radiographic features of osteoarthritis of knee include, which of the following?

1. 
   Marginal erosion
   
2. 
   Juxta articular osteopenia (demineralization)
   
3. 
   Loss of articular cartilage with narrowing of the radiologic joint space
   
4. 
   Osteonecrosis (avascular necrosis) of the medial femoral condyle
   
5.