I n t e r n a L medicine questions Bank

Relief of pain by nitrates points toward a cardiac causes and excludes an esophageal cause

Reduction to the jaw is a suggestive of cardiac pain

62. All of the following are correct regarding the anti-arrhythmic drug amiodarone, except:

1. 
   Prolongs the plateau phase of the action potential
   
2. 
   Potentiate the effect of warfarin
   
3. 
   Is useful in prevention of both ventricular and supraventricular tachycardia
   
4. 
   May cause corneal deposits
   
5. 
   Has a significant -ve inotropic action
   

63. Which one of the following is least useful in assessing the severity of patient with liver cirrhosis :

1. 
   ANA positivity
   
2. 
   PT
   
3. 
   Bilirubin
   
4. 
   The presence of ascites
   
5. 
   The presence of encephalopathy
   

64. Recognized cause of the 2ry HTN include all of the following except :

1. 
   Conns syndrome
   
2. 
   1ry hypoaldosteronism
   
3. 
   Acromegaly
   
4. 
   Estrogen-containing oral contraceptive
   
5. 
   Thyrotoxicosis
   

65. In the ER is a 59 Y/O patient with chest pain and SOB. She just had appendectomy 8 days ago, chest examination reveals dullness to percussion on the Rt side, decrease tactile fremitus, and asymmetrical chest expansion on the Rt side . which one of the following is most likely?

1. 
   Pneumothorax
   
2. 
   Pleural effusion
   
3. 
   Pneumonia
   
4. 
   PE
   
5. 
   Lung abscess
   

66. Hypochromic microcytic anemia is a feature of one of the following disease:

1. 
   Thalassemia minor
   
2. 
   Hereditary spherocytosis
   
3. 
   Autoimmune hemolytic anemia
   
4. 
   Pernicious anemia
   
5. 
   Folic acid deficiency anemia